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MX2012005273A - Methods for increasing the stabilization of hypoxia inducible factor-1 alpha. - Google Patents

Methods for increasing the stabilization of hypoxia inducible factor-1 alpha.

Info

Publication number
MX2012005273A
MX2012005273A MX2012005273A MX2012005273A MX2012005273A MX 2012005273 A MX2012005273 A MX 2012005273A MX 2012005273 A MX2012005273 A MX 2012005273A MX 2012005273 A MX2012005273 A MX 2012005273A MX 2012005273 A MX2012005273 A MX 2012005273A
Authority
MX
Mexico
Prior art keywords
substituted
unsubstituted
membered
hydroxy
linear
Prior art date
Application number
MX2012005273A
Other languages
Spanish (es)
Inventor
Robert Shalwitz
Joseph H Gardner
Original Assignee
Aerpio Therapeutics Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Aerpio Therapeutics Inc filed Critical Aerpio Therapeutics Inc
Publication of MX2012005273A publication Critical patent/MX2012005273A/en

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    • C07D211/96Sulfur atom
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Abstract

Disclosed herein are methods for controlling the activity of hypoxia- inducible transcription factor 1 -alpha (HIF- lα) and diseases, conditions, or syndromes related thereto, inter alia, Peripheral Vascular Disease (PVD), Coronary Artery Disease (CAD), heart failure, ischemia, and anemia. Further disclosed are pharmaceutical compositions comprising HIF- lα prolyl hydroxylase inhibitors useful in treating diseases, conditions, and/or syndromes related thereto the activity of HIF-I α.

Description

METHODS TO INCREASE THE STABILIZATION OF FACTOR-1 ALFA INDUCED BY HYPOXIA RELATED REQUESTS This application claims the benefit of the provisional application with serial number 61 / 258,914 and provisional application with serial number 61 / 258,918 that were both filed on November 6, 2009, applications that are incorporated herein by reference in their entirety.
FIELD OF THE INVENTION The present invention describes prolyl hydroxylase inhibitors that can stabilize hypoxia-inducible factor-1 alpha (HIF-1a), as well as hypoxia-inducible factor-2 alpha (HIF-2a). Also described herein are pharmaceutical compositions comprising one or more of the described compounds. Furthermore, methods are described for stimulating the cellular immune response in a mammal such as increased phagocytosis, for example, prolonging the life of phagocytes, inter alia, keratinocytes, neutrophils. As such, the disclosed compounds provide methods for treating diseases that are related to the body's immune response.
BRIEF DESCRIPTION OF THE INVENTION The described compounds stabilize HIF-1a and HIF-2a, as well as other factors that are present in a compromised immune system or that are depleted or overwhelmed by the presence of a disease state and the manifestations of the disease state, among others, sepsis. . The disclosed compounds can be used to treat cancer and can be co-administered with other cancer therapy drugs. In addition, the disclosed compounds may be increased to increase the immune response by a mammal when co-administered with a vaccine, eg, influenza vaccines, malaria vaccines, yellow fever vaccines, cancer vaccines, and the like. .
BRIEF DESCRIPTION OF THE FIGURES Figure 1 illustrates the normal metabolic pathway of HIF-1oc during normoxia.
Figure 2 illustrates the increase in death by neutrophils of S. aureus (Newmann strain) with 50 μ? and 200 μ? of a compound described in Table VIII versus control (D SO) at 60 and 90 minutes.
Figure 3 illustrates the increase in cell line of human monocytes (U937) against S. aureus (Newman strain) by 10 μ? of a compound described in Table VIII versus untreated samples.
Figure 4 illustrates the average percent of surviving bacteria in treated U937 cells vs. not treated after infection with S. aureus (Newman strain) after 1 hour of pretreatment (black) or 2 hours (diagonal) of pretreatment with 10 μ? of a compound described in table VIII.
Figure 5 illustrates the average percent of surviving bacteria in treated U937 cells vs. untreated after infection with two strains of S. aureus, Newman (black) or methicillin-resistant S. aureus (MRSA) (diagonal), after 1 hour of pretreatment with 10 μ? of a compound described in table VIII.
Figure 6 illustrates the average percent of surviving bacteria in treated U397 cells vs. not treated after infection with two strains of S. aureus, Newman (black) or MRSA (diagonal) and treatment with 10 μ? of a compound described in table VIII.
Figure 7 illustrates the average percent of surviving bacteria in treated U937 cells vs. untreated after infection with two strains of S. aureus, Newman (bars with diagonals) or MRSA (black bars), after treatment with 100 mM of mimosine (A), 10 μ? of a compound described in Table VIII (B), or 2 mg / mL vancomycin (C) at 2 hours after infection.
Figure 8 illustrates the average percent of surviving bacteria in treated U937 cells vs. not treated after infection with S. aureus (Newman) after no pretreatment, 1 hour of pretreatment or 2 hours of pretreatment with 10 μ? of a compound described in table VIII.
Figure 9 illustrates the average percent of surviving bacteria in treated HaCaT cells vs. untreated infected with two strains of S. aureus, Newman (bars with diagonals) or MRSA (black bars) and pre-treated for 1 hour with DMSO (control), 800 μ? mimosine, 10 μ? a compound described in Table VIII or 1 pg / mL of vancomycin. The data shown is 2 hours post-treatment.
Figure 10 illustrates the average percent of surviving bacteria in treated HaCaT cells vs. untreated infected with two strains of S. aureus, Newman (bars with diagonals) or MRSA (black bars), after pretreatment with 10 μ? a compound described in table VIII.
Figure 11 illustrates the upregulation of phosphoglycerate kinase (PGK) expression in wild-type murine embryo fibroblasts as a result of treatment with a compound described in Table VIII at a dose of 1 μ? (E), 10 μ? (F) and 50 μ? (G) vs. Wild type (H) control and lack of upregulation of PGK expression in cells blocked (knockout) for HIF-1 as a result of treatment with a compound described in Table VIII at a dose of 1 μ? (A), 10 μ? (B) and 50 μ? (C) and blocked control for HIF-1 (D). Both types of cells were treated for 7 hours.
Figure 12 illustrates the upregulation of phosphoglycerate kinase (PGK) expression in wild-type murine embryo fibroblasts as a result of treatment with 1- (3-chlorobenzyl) -3-hydroxypyridin-2 (1 H) -one compound at a dose of 1 μ? (E), 10 μ? (F), vs. wild-type control (G) and the lack of up-regulation of PGK expression in cells blocked for HIF-1 as a result of treatment with a compound described in Table VIII at a dose of 1 μ? (A), 10 μ? (B) and 50 μ? (C) and blocked control for for HIF-1 (D).
Figure 13 illustrates the upregulation of phosphoglycerate kinase (PGK) expression in wild-type murine embryo fibroblasts as a result of treatment with compound a compound described in Table VIII at a dose of 1 μ? (E), 10 μ? (F) and 50 μ? (G) vs. wild-type (H) control and lack of up-regulation of PGK expression in cells blocked for HIF-1 as a result of treatment with compound a compound described in Table VIII at doses of 1 μ? (A), 10 μ? (B) and 50 μ? (C) and blocked control for for HIF-1 (D).
Figure 14 illustrates ascending regulation of vascular expression of endothelial growth factor (VEGF) in wild-type murine embryo fibroblasts as a result of treatment with compound a compound described in Table VIII at a dose of 1 μ? (E), 10 μ? (F) and 50 μ? (G) vs. control (H) and the lack of upregulation of VEGF expression in cells blocked for HIF-1 treated with a compound described in Table VIII at a dose of 1 μ? (A), 0 μ? (B) and 50 μ? (C) and blocked control for for HIF-1 (D). Both types of cells were treated for 7 hours.
Figure 15 illustrates the results of example 11 where 3 groups of animals are treated with antibiotic-sensitive Newman strain for Staphylococcus aureus. The data show significant reduction in the size of skin lesions (wounds) for animals in group 1 (solid circles (·)) treated with 10 μ? of a compound described in Table VIII versus animal given a bolus of DMSO (solid pictures (|)). Figure 15 illustrates mice infected with Newman strain of S. aureus followed by treatment with 10 μ? of a compound described in Table VIII or DMSO (control) at 2 hours after infection. The data show statistically significant reduction in the size of skin lesions (wounds) for animals treated with a compound described in Table VIII (solid circles (·)) or DMSO (solid frames (|)).
Figure 16 also illustrates the results of Example 1 1 showing the reduction in the size of skin lesions (wounds) for animals in group 1 (solid circles (·)) treated with 10 μ? of a compound described in Table VIII versus animals that are not treated (solid triangles (A)). Figure 16 illustrates mice infected with Newman strain of S. aureus followed by treatment with 10 μ? of a compound described in Table VIII or without treatment at 2 hours after infection. The data show the reduction in the size of skin lesions (wounds) for animals treated with a compound described in Table VIII (solid (·)) or untreated (solid triangles (A)).
Figure 17 is a histogram illustrating the results of Example 12 where 3 groups of animals are treated with Newman strain of antibiotic-sensitive Staphylococcus aureus [ATCC # 25904]. The data show the results for the untreated group plotted under (A), the results for the group treated with DMSO plotted under (B) and results for the group treated with 10 μ? of a compound described in table VIII below graph (C).
Figure 18 also illustrates the results of Example 12 where the number of colony forming units in the kidney is plotted for the various groups: the untreated group is plotted low (A), the group treated with DMSO is plotted low (B) ) and the group treated with 10 μ? of a compound described in table VIII is graphed under (C).
Figure 19 illustrates the results of example 13 wherein 2 groups of animals are treated with Streptococcus pyogenes NZ131 [strain M49]. The data show the reduction in the size of skin lesions (wounds) for animals in group 1 (solid triangles (A)) treated with 0.5 mg / kg of a compound described in Table VIII versus animal treated with vehicle control (cyclodextran) (solid circles (·)).
Figure 20 is a histogram that also illustrates the results of example 12 wherein the number of colony forming units for the skin lesions observed in animals treated with control vehicle (cyclodextran) are plotted under (A) and the results for the group treated with 0.5 mg / kg of a compound described in table VIII are plotted under (B).
DETAILED DESCRIPTION OF THE INVENTION In this specification and in the claims that follow, reference will be made to a number of terms that must be defined to have the following meanings: Throughout this specification, unless the context requires otherwise, the word "comprise," or variations such as "comprises" or "comprising", shall be understood to imply the inclusion of an established entity or step or group of entities or steps but not the exclusion of any other entity or step or group of entities or steps.
It should be noted that, as used in the specification and the appended claims, the singular forms "a", "an", "the" and "the" include plural referents unless the context clearly determines otherwise. Thus, for example, the reference to "a vehicle" includes mixtures of two or more of said vehicles and the like.
"Optional" or "optionally" means that the subsequently described event or circumstance may or may not occur, and that the description includes instances where the event or circumstance occurs and cases where it does not occur.
By "pharmaceutically acceptable" is meant a material that is non-biologically or otherwise undesirable, i.e., the material can be administered to an individual together with the relevant active compound without causing clinically unacceptable biological effects or by interacting in a deleterious manner with any of the other components of the pharmaceutical composition in which it is contained. The ranges can be expressed here as "about" a particular value, and / or at "about" another particular value. When said interval is expressed, another aspect includes from a particular value and / or to the other particular value. Similarly, when the values are expressed as approximations, by using the antecedent "approximately," it will be understood that the particular value forms another aspect. It will be understood that the end points of each of the intervals are significant both in relation to the other end point, and independently of the other end point.
A weight percent of a component, unless specifically indicated to the contrary, is based on the total weight of the formulation or composition in which the component is included.
By "effective amount", as used herein, means "an amount of one or more of the HIF-1a prolyl hydroxylase inhibitors described, effective at doses and for periods necessary to achieve the desired or therapeutic result. "An effective amount may vary in accordance with factors known in the art, such as the disease state, age, sex and weight of the human or animal being treated. Although the particular dosage regimens may be described in examples herein, a disclosure in the art will disclose that the dosage regimen may be altered to provide optimal therapeutic response.For example, several divided doses may be administered daily or the dose it may be proportionally reduced as indicated by the exigencies of the therapeutic situation, In addition, the compositions of this disclosure may be administered as frequently as necessary to achieve a therapeutic amount.
"Mixture" or "combination" as generally used herein means a physical combination of two or more different components "Excipient" is used herein to include any other compound that may be contained in or combined with one or more of the described inhibitors that is not a therapeutically or biologically active compound. As such, an excipient must be pharmaceutically or biologically acceptable or relevant (for example, an excipient generally must be non-toxic to the subject). "Excipient" includes a single compound and is also intended to include a plurality of excipients.
As used herein, a "subject" means an individual. Therefore, the "subject" may include domestic animals (eg, cats, dogs, etc.), livestock (eg, cattle, horses, pigs, sheep, goats, etc.), animals of laboratory (eg, mouse, rabbit, rat, guinea pig, etc.), and birds. "Subject" can also include a mammal, such as a primate or a human.
By "preventing" or other forms of the word, such as "preventing" or "prevention," means stopping a particular event or feature, to stabilize or delay the development or progression of a particular event or feature, or to minimize the likelihood of a particular event or feature occurring. Preventing does not require comparison with a control since it is typically more absolute than, for example, reducing. As used in the present, something could be reduced but not prevented, but something that is reduced could also be prevented. Also, something could be prevented but not reduced, but something that is prevented could also be reduced. It should be understood that where it is used to reduce or prevent, unless specifically indicated otherwise, the use of the word filly is also expressly described.
By "reduce" or other forms of the word, such as "reducing" or "reduction," it is meant to diminish an event or characteristic (eg, vascular leakage). It should be understood that this is typically in relation to some standard or expected value, in other words it is relative, but it is not always necessary to refer to the standard or relative value.
The term "treat" or other forms of the word, such as "treated" or "treatment", is used herein to mean that the administration of a compound of the present invention mitigates a disease or disorder in a host and / or reduces , inhibits, or eliminates a particular characteristic or event associated with a disorder (e.g., infection caused by a microorganism). Therefore, the term "treatment" includes, preventing a disorder from occurring in a host, particularly when the host is predisposed to acquire the disease, but has not yet been diagnosed with the disease; inhibit the disorder; and / or alleviate or reverse the disorder. Insofar as the methods of the present invention are directed to prevent disorders, it is understood that the term "prevent" does not require that the disease state be completely impeded. Rather, as used herein, the term "prevent" refers to the ability of the person skilled in the art to identify a population that is susceptible to disorders, such that administration of the compounds of the present invention may occur prior to beginning of a disease The term does not imply that the disease state is completely avoided.
The ranges can be expressed here as "about" a particular value and / or "about" another particular value. When said interval is expressed, another aspect includes from a particular value and / or to the other particular value. Similarly, when the values are expressed as approximations, by using the "approximately" antecedent it will be understood that the particular value forms another aspect. It will be understood that the endpoints of each of the intervals are significant both in relation to the other endpoint, and independently of the other endpoint. It should be understood that there are a number of values described herein, and that each value is also described here as "approximately" that particular value in addition to the value itself. For example, if the value "10" is described, then "approximately 10" is also described. It should be understood that when a value is described, then "less than or equal to" the value, "greater than or equal to the value", and possible intervals between values are also described, as properly understood by the person skilled in the art. For example, if the value "10" is described, then "less than or equal to 10" as well as "greater than or equal to 10" is also described. It is also understood that throughout the application data is provided in a number of different formats and that these data represent endpoints and starting points and the intervals for any combination of those data points. For example, if a particular data point, "10" and a particular data point, "15" are described, it is understood that greater than, greater than or equal to, less than, less than or equal to, and equal to 10 and 15 are considered described as well as between 10 and 15. It is also understood that each unit between two particular units is also described. For example, if 10 and 15 are described, then 1, 12, 13 and 14 are also described. By "antimicrobial" is meant the ability to treat or control (e.g., reduce, prevent, inhibit, decompose or eliminate) the growth or survival of microorganism at any concentration. Similarly, the terms "antibacterial", "antiviral" and "antifungal" respectively mean the ability to treat or control (e.g., reduce, prevent, inhibit, decompose or eliminate) the growth or survival of bacteria, viruses and mushrooms at any concentration.
The term "anion" is a type of ion and are included within the meaning of the term "ion." An "anion" is any molecule, portion of a molecule molecule (eg, zwitterion), aggregate of molecules, complex molecular, portion or atom that contains net negative charge or can be made to contain a net negative charge. The term "anion precursor" is used herein to refer specifically to a molecule that can be converted to an anion by means of a chemical reaction (e.g., deprotonation).
The term "cation" is a type of ion and are included within the meaning of the term "ion". A "cation" is any molecule, portion of a molecule (eg, zwitterion), aggregate of molecules, molecular complex, portion or atom, that contains a net positive charge or that can be made to contain a net positive charge. The term "cation precursor" is used herein to refer specifically to a molecule that can be converted to a cation by means of a chemical reaction (e.g., protonation or alkylation).
"Chemotherapeutic agent" is used herein to include any other pharmaceutically active compound that can be used in conjunction with the described HIF-1a prolyl hydroxylase inhibitors, eg, cytotoxic drugs such as 6-hydroxymethylacylfulvene, cyclophosphamide, dacarbazine, carmustine, doxorubicin and methotrexate. Other chemotherapeutic agents also include anti-inflammatory drugs, i.e. non-spheroidal anti-inflammatory compounds such as aspirin.
Unless otherwise indicated, a formula with chemical bonds shown only as solid lines and not as cuneiform or discontinuous lines contemplates each possible isomer, e.g., each enantiomer, diastereoisomer and meso compound, and a mixture of isomers, such as a racemic or scaemic mixture.
The hypoxia-inducible factor 1 transcription factor (HIF-1) is one of the key regulators of oxygen homeostasis. Regulates the physiological response to low oxygen levels (hypoxia) and the pathophysiology of heart attack, cancer, stroke and chronic lung disease. HIF-1 is a heterodimeric protein that consists of two subunits, HIF-1a and HIF-1β. While HIF-? ß is constitutively expressed, the expression of HIF-1 a is induced by oxygen concentrations below 6%. Heterodimers of HIF-1 bind to the hypoxia response element (HRE), a 5-RCGTG-3 consensus sequence. Several dozens of genes regulated by HIF-1 have been identified so far, including genes that code for proteins involved in angiogenesis, energy metabolism, erythropoiesis, proliferation and cell viability, vascular remodeling and vasomotor responses. Therefore, the modulation of HIF activation in cells is critical to prevent, control, cure or otherwise affect a wide range of diseases, disease states and conditions.
The hypoxia-inducible 1-alpha transcription factor (HIF-1a) plays a central role in cellular adaptation to reduced oxygen availability. Under hypoxic stress, activated HIF-1 competes for oxygen homeostasis not only by maintaining intracellular energy production by inducing angiogenesis and glycolysis, but also by limiting energy consumption by inhibiting cell proliferation and DNA repair.
In general, HIF-1a activates its target genes, inter alia, EPO, VEGF, and PGK1, through binding to the hypoxia response element in the gene promoter (Wang, GL et al, J Biol Chem (1993); 268: 21513-21518).
HIF-1a under normal health conditions wherein the cells have a sufficient oxygen supply is easily converted to a form degraded by one of several enzymes 4-prolyl hydroxylase, inter alia, EGLN1 (hereinafter referred to as HIFPH2). As noted above, when cells undergo hypoxia, this enzymatic transformation is slowly or completely stopped and HIF-1a begins to accumulate in the cell. When this accumulation of HIF-1a occurs, the protein combines with HIF-1β to form the active transcription factor complex HIF-1. This transcription factor then activates several biological pathways that are present in response to and a means to alleviate the hypoxia state of the body. These responses include, among others, angiogenic, erythropoietic (EPO), glucose metabolism (PGK), matrix alteration, and increased ability of phagocytes to respond to pathogens.
Figure 1 summarizes the metabolism of HIF-1a during normal health conditions. The HIF a subunits are unstable under normoxic conditions; the cells continuously synthesize and degrade these proteins. The short life of HIF-1a is the byproduct of a family of prolyl hydroxylases (PH1-3) dependent on 02- and iron, whose action directs subunits HIF-1a for degradation via the ubiquitin-proteasome pathway in a process dependent on the Interaction with Hippel-Lindau tumor suppressor protein (vHL). In Figure 1, the PDH's represent prolyl hydroxylases that act in the presence of an asparaginyl hydroxylase to hydroxylate prolines 564, as well as asparagines 804. From this point, because hydroxylated HIF-1a is also prevented from associating with p300-CPB , due to other factors, ubiquitin ligase begins to metabolize hydroxylated HIF-1a via the vHL pathway.
In patients where there is a need to stimulate this response, for example, in patients who need increased tissue oxygen due to peripheral vascular disease (PVD), the inhibition of HIF1 enzymes, for example, Eg1 nine homolog 1 (HIFPH2), They will stimulate the body's own angiogenic response without the consequences of oxygen deficiency. In addition, in diseases of ischemia, inter alia, CAD and anemia, the stimulation of angiogenic, erythropoietic and metabolic adaptation can provide therapeutic benefits. With the regulation of HIF-1a, a method to increase immunity is also provided, for example, by increasing the capacity of phagocytes.
Therefore, there is a great need for methods to control HIF-1a activity that can be effectively achieved by compounds that inhibit the 4-prolyl hydroxylase enzymes that degrade HIF-1a. This inhibition of 4-prolyl hydroxylase enzymes, inter alia, HIFPH2 (also referred to herein as EGLN1 or PHD2) and HIFPH3 (also referred to herein as EGLN3 or PHD-3) therefore provides a method for increasing the concentration of HIF-1a in cells and therefore provides methods to treat a variety of diseases or disease states.
In the present methods are described for treating one or more diseases, conditions, syndromes and the like which are affected by the level of hypoxia-inducible transcription factors. The regulation of these factors both during hypoxia and normoxia can provide methods to rebalance or regulate one or more biological pathways associated with abnormal conditions, among others, invasion of the body by pathogens, among others, bacteria, fungi, viruses and parasites, abnormal cell regulation , that is, cancer ischemia, and the side effects caused by vaccination.
Stabilization direction of HIF1 in cells HIF-1a is targeted for destruction by prolyl hydroxylation, an oxygen-dependent modification that sends signals for recognition by the ubiquitin ligase E3 complex containing the von Hippel-Lindau tumor suppressor (VHL). Three prolyl hydroxylases previously referred to in the literature as EGLN1, EGLN2 and EGLN3 (also known as, have been identified in mammals, among which, EGLN1 (also known as HIFPH2 or PHD2), and EGLN3 (also known as HIFPH3 or PHD3), are hypoxia-inducible at their mRNA levels in a HIF-1a-dependent manner HIF-1a levels are controlled by these prolyl-4-hydroxylases by hydroxylating the proline residues of HIF-1a Pro-402 and Pro-564 in humans (Iván, M. et al., (2001) "HIFa targeted for VHL-mediated destruction by proline hydroxylation: implications for 02 sensing." Science 292, 464-468, Jaakkola, P. et al., (2001) "Targeting of HIF-1ato the von Hippel-Lindau ubiquitylation complex by O2-regulated prolyl hydroxylation." Science 292, 468-472; and Masson, N. et a /., (2001) "Independent function of two destruction domains in hypoxia -inducible factor-a chains activated by prolyl hydroxylation. "EMBO J. 20, 5197-5206.) Under conditions of hypoxia, the activity of and EGLN1 and EGLN3 is suppressed.
Stimulated by an accumulation of cellular HIF-1a concentration is the production of phosphoglycerate kinase (PGK) and vascular endothelial growth factor (VEGF). It has been shown that the stimulation of VEGF induces the formation of functional neo-vessels in the cornea of mice and the increased blood flow in dog model of coronary artery disease. The HIF-1a prolyl hydroxylase inhibitors of the present disclosure provide for increased expression of genes induced by multiple hypoxia including VEGF, GAPDH and erythropoietin (EPO). In addition, the HIF-1a prolyl hydroxylase inhibitors of the present disclosure provide for the increased accumulation of HIF1-a in the cytoplasm and nucleus. Transgenic mice expressing a constitutively active HIF-1a in the skin have increased dermal vascularization and had a 13-fold increase in VEGF levels.
Wounds Chronic, non-healing wounds are a major cause of prolonged morbidity in the elderly human population. This is especially the case in patients who remain in bed or diabetics who develop severe non-healing skin ulcers. In many of these cases, the delay in healing is a result of inadequate blood supply either as a result of continuous pressure or vascular blockage. Poor capillary circulation due to atherosclerosis of small artery or venous stasis contributes to failure to repair damaged tissue. Such tissues are often infected with microorganisms that proliferate without challenge by the body's innate defense system that requires well-vascularized tissue to effectively eliminate pathogenic organisms. As a result, most therapeutic intervention centers restore blood flow to ischemic tissues, thereby allowing access of nutrients and immune factors to the wound site.
The present disclosure relates to methods for treating wounds and promoting wound healing in a subject comprising, administering to the subject in need of treatment an effective amount of one or more of the described compounds.
The present disclosure relates to the use of one or more of the disclosed compounds for use in the manufacture of a medicament for treating wounds and promoting wound healing.
Antimicrobial compounds The hypoxia-responsive transcription factor HIF-1a is essential for the regulation of inflammation in vivo. As such, it has been discovered (Peyssonnaux C. et al, "HIF-1a expression regulates the bactericidal capacity of phagocytes" J. Clinical Investigation 115 (7), pp 1808-1815 (2005)) that the bacterial infection induces the expression of HIF-1a in myeloid cells, even under normoxic conditions, and that HIF-1a regulates the generation of critical molecular effectors of immune defense including granule proteases, peptides antimicrobials, nitric oxide and TNF-a. Bacterial infection induces a subset of target HIF-1a genes specifically related to microbial death, thus demonstrating that HIF-1a has an essential function in innate immunity other than the hypoxic response. Therefore, the function of HIF-1a is critical for bactericidal activity of myeloid cells and the ability of the host to limit the systemic spread of infection of an initial tissue site. The increased activity of the HIF-1a pathway through deletion of vHL supports the production of myeloid cells by defense factors and improves the bactericidal capacity. The disclosed compounds induce HIF-1a activity and may also increase bacterial killing and NO production in a specific manner of HIF-1a. These findings provide methods for increasing innate immune responses to bacterial, eg, bacterial infection.
Without wishing to be limited by theory, the described compounds can increase the stabilization of HIF-1 protein by acting directly or indirectly on one or more cellular processes that act to destabilize or metabolize cellular components that stabilize the Presence of HIF-1 protein, protect it from inhibition, or increase the activity of the protein. Alternatively, the described compounds can increase the activity of HIF-1 protein by inhibiting or otherwise blocking the activity of compounds that inhibit the activity of HIF-1 protein. As such, a method for improving the treatment of microbial infections by administering a substance that increases the level activity of at least one HIF-1 protein in a subject suffering from microbial infection or an increased risk of microbial infection.
In one aspect, methods for modulating the activity of at least one HIF-1 protein are described herein. As such, the disclosed methods comprise contacting at least one HIF-1 protein or interacting protein with HIF-1 with one or more of the disclosed compounds that modulate the activity of the HIF-1 protein, or causing contact between the protein and substance. In the modality, contact is achieved in vitro. In another modality, contact is achieved in vivo. In an additional mode, the contact is achieved ex vivo.
In another aspect, a method for treating a subject infected or at risk of infection by a microbial agent comprising administering to a subject a therapeutically effective amount of one or more of the disclosed compounds is described. In one embodiment, the compound increases the amount or activity of HIF-1. In another embodiment, the microbial agent is a pathogen. Iterations of this modality Related to pathogens include, bacteria, fungi, protozoa, viruses, yeast and the like. An additional iteration of this aspect relates to a method for treating a subject infected by or at risk of infection by a microbial agent which comprises increasing the killing activity of microbial pathogens of the immune cells of the subject.
A method to increase the stabilization of HIF-1 to inhibit the activity of 4-prolyl hydroxylase enzymes which are the cellular decomposition of HIF-1a thus preventing HIF-1a from combining with HIF-1β to form HIF-1. As such, methods for increasing the cellular response to disease state such as infection, i.e., presence of a pathogen such as a bacterium, a virus, a parasite, a yeast, a fungus and the like by increasing the phagocytosis Also disclosed herein are methods for treating cancer by increasing the cellular immune response, for example, by stabilizing HIF-1, thereby increasing the body's ability to reduce the size of the tumor. Furthermore, methods for treating diseases in which an immunological response can be stimulated by vaccination are described herein.
The following chemical hierarchy is used throughout the specification to describe and enable the scope of the present disclosure and to particularly designate and distinctly claim the units comprising the compounds of the present disclosure, however, unless defined specifically in another way, the terms used herein are the same as those of a person skilled in the art. The term "hydrocarbyl" represents any unit based on a carbon atom (organic molecule), said units optionally containing one or more organic functional groups, including salts comprising inorganic atom, inter alia, carboxylate salts, quaternary ammonium salts. Within the broad meaning of the term "hydrocarbyl" are classes "acyclic hydrocarbyl" and "cyclic hydrocarbyl" such terms are used to divide hydrocarbyl units into cyclic and non-cyclic classes.
As for the following definitions, "cyclic hydrocarbyl" units may comprise only carbon atoms in the ring (carbocyclic and aryl rings) or may comprise one or more heteroatoms in the ring (heterocyclic and heteroaryl). For "carbocyclic" rings, the number of carbon atoms lower in a ring is 3 carbon atoms; cyclopropyl. For "aryl" rings, the number of carbon atoms lower in a ring is 6 carbon atoms; phenyl. For "heterocyclic" rings the number of carbon atoms lower in a ring is 1 carbon atom; diazirinyl. The ethylene oxide comprises 2 carbon atoms and is a C2 heterocycle. For "heteroaryl" rings, the number of carbon atoms lower in a ring is 1 carbon atom; 1, 2,3,4-tetrazolyl. The following is a non-limiting description of the terms "acyclic hydrocarbyl" and "cyclic hydrocarbyl" as used herein.
A. Substituted and unsubstituted acrylic hydrocarbyl: For the purposes of the present description, the term "substituted and unsubstituted acrylic hydrocarbyl" covers 3 categories of units: 1) linear or branched alkyl, non-limiting examples of which include, methyl (C ^, ethyl (C2), n-propyl (C3), / so-propyl (C3), n-butyl (C4), sec-butyl ( C4), / 'so-butyl (C4), re / t-butyl (C4) and the like; linear or branched substituted alkyl, non-limiting examples of which include, hydroxymethyl (Ci), chloromethyl (C-?), Trifluoromethyl ( C ^, aminomethyl (Ci), 1-chloroethyl (C2), 2-hydroxyethyl (C2), 1,2-difluoroethyl (C2), 3-carboxypropyl (C3) and the like. 2) linear or branched alkenyl, non-limiting examples of which include, ethenyl (C2), 3-propenyl (C3), 1-propenyl (also 2-methylethenyl) (C3), isopropenyl (also 2-methyleten-2-yl) (C3), buten-4-yl (C4) and the like; linear or branched substituted alkenyl, non-limiting examples of which include, 2-chloroethenyl (also 2-chlorovinyl) (C2), 4-hydroxybuten-1-yl (C), 7-hydroxy-7-methyloct-4-en-2 -yl (C9), 7-hydroxy-7-methyloct-3,5-dien-2-yl (Cg) and the like. 3) linear or branched alkynyl, non-limiting examples of which include, ethynyl (C2), prop-2-ynyl (also propargyl) (C3), propin-1-yl (C3), and 2-methyl-hex-4- in-1-yl (C7); linear or branched substituted alkynyl, non-limiting examples of which include, 5-hydroxy-5-methylhex-3-ynyl (C7), 6-hydroxy-6-methylhept-3-yn-2-yl (Ce), 5-hydroxy -5-ethylhept-3-ynyl (Cg) and the like.
B. Substituted and unsubstituted cyclic hydrocarbon: For the purposes of the present description the term "substituted and unsubstituted cyclic hydrocarbyl" covers 5 categories of units: 1) The term "carbocyclic" is defined herein as "encompassing rings comprising from 3 to 20 carbon atoms, wherein the atoms comprising said rings are limited to carbon atoms, and in addition each ring can be independently substituted with one or more portions capable of replacing one or more hydrogen atoms. " The following are non-limiting examples of "carbocyclic substituted and unsubstituted rings" encompassing the following categories of units: i) carbocyclic rings having a single substituted or unsubstituted hydrocarbon ring, non-limiting examples of which include, (C3) cyclopropyl, 2-methyl-cyclopropyl (C3), cyclopropenyl (C3), cyclobutyl (C4), 2,3 -dihydroxycyclobutyl (C4), cyclobutenyl (C4), cyclopentyl (C5), cyclopentenyl (C5), cyclopentadienyl (C5), cyclohexyl. { CQ), cyclohexenyl. { C &), cycloheptyl (C7), cyclooctanyl (C8), 2,5-dimethylcyclopentyl (C5), 3,5-dichlorocyclohexyl (C6), 4-hydroxycyclohexyl (C6), and 3,3,5-trimethylcyclohex-1- ilo (C6). ii) carbocyclic rings having two or more substituted or unsubstituted fused hydrocarbon rings, non-limiting examples of which include, octahydropentanyl (C8), octahydro-1 H-indenyl (C9), 3a, 4,5,6,7 , 7a-hexahydro-3H-inden-4-yl (Cg), decalinyl (Cι), decahydroazinyl (Cι). iii) carbocyclic rings which are substituted or unsubstituted bicyclic hydrocarbon rings, non-limiting examples of which include, bicyclo- [2.1.1] hexanyl, bicyclo [2.2.1] heptanil, bicyclo [3.1.l] heptanil, 1, 3-dimethyl [2.2.1] heptan-2-yl, bicyclo [2.2.2] octanyl and bicyclo [3.3.3] undecanyl. 2) The term "aryl" is defined herein as "units comprising at least one phenyl or naphthyl ring and wherein there are no heteroaryl or heterocyclic rings fused to the phenyl or naphthyl and further each ring can be independently substituted with one or more portions capable of replacing one or more hydrogen atoms. " The following are non-limiting examples of "substituted and unsubstituted aryl rings" encompassing the following categories of units: i) substituted and unsubstituted aryl rings of C6 or Cio; phenyl and naphthyl rings whether substituted or unsubstituted, non-limiting examples of which include, phenyl (Ce), naphthylene-1-yl (Ci0), naphthylene-2-yl (Cι), 4-fluorophenyl (C6), -hydroxyphenyl (C6), 3-methylphenyl (C6), 2-amino-4-fluorophenyl (C6), 2- (N, N-diethylamino) phenyl (C6), 2-cyanophenyl (C6), 2,6-di -rerf-butylphenyl (C6), 3-methoxyphenyl (Ce), 8-hydroxynaphthylene-2-yl (Cio), 4,5-dimethoxynaphthylene-1-yl (C-io), and 6-cyano-naphthylene-1- ilo (C-io). ii) C6 or C10 aryl rings fused with 1 or 2 non-limiting examples of saturated rings of which include, β-cyclo [4.2.0] octa-1, 3,5-trienyl (C8), and indanyl (C9) ). 3) The term "heterocyclic" and / or "heterocycle" are defined herein as "units comprising one or more rings having from 3 to 20 atoms wherein at least one atom in at least one ring is a heteroatom chosen from nitrogen (N), oxygen (O), or sulfur (S), or mixtures of N, O and S, and wherein the ring also which comprises the heteroatom is also not an aromatic ring. "The following are non-limiting examples of" substituted and unsubstituted heterocyclic rings "encompassing the following categories of units: i) heterocyclic units having a single ring containing one or more heteroatoms, non-limiting examples of which include, diazirinyl (d), aziridinyl (C2), urazolyl (C2), azetidinyl (C3), pyrazolidinyl (C3), imidazolidinyl ( C3), oxazolidinyl (C3), isoxazolinyl (C3), thiazolidinyl (C3), isothiazolinyl (C3), oxathiazolidinonyl (C3), oxazolidinonyl (C3), hydantoinyl (C3), tetrahydrofuranyl (C4), pyrrolidinyl (C), morpholinyl ( C), piperazinyl (C4), piperidinyl (C4), dihydropyranyl (C5), tetrahydropyranyl (C5), piperidin-2-onyl (valerolactam) (Cs), 2,3,4,5-tetrahydro-1 / - / - azepinyl (C6), 2,3-dihydro-1H-indole (C8) and 1, 2,3,4-tetrahydro-quinoline (C9). ii) heterocyclic units having 2 or more rings, one of which is a heterocyclic ring, non-limiting examples of which include hexahydro-1 H-pyrrolizinyl (C7), 3a, 4,5,6,7,7a-hexahydro -1H-benzo [d] imidazole (C7), 3a, 4,5,6,7,7a-hexahydro-1H-indolyl (C8), 1, 2,3,4-tetrahydroquinolinyl (C9) , and decahydro-1H-cycloocta [b] pyrrolyl (C10). 4) The term "heteroaryl" is defined herein as "encompassing one or more rings comprising from 5 to 20 atoms wherein at least one atom in at least one ring is a heteroatom chosen from nitrogen (N), oxygen (O) or sulfur (S), or mixtures of N, O and S, and wherein in addition at least one of the rings comprising a heteroatom is an aromatic ring. "The following are non-limiting examples of" heterocyclic rings ". substituted and unsubstituted "covering the following categories of units: i) heteroaryl rings containing a single ring, non-limiting examples of which include, 1, 2,3,4-tetrazolyl (Ci), [1,2] triazolyl (C2), [1, 2.4 ] triazolyl (C2), triazinyl (C3), thiazolyl (C3), 1 / -imidazolyl (C3), oxazolyl (C3), isoxazolyl (C3), isothiazolyl (C3), furanyl (C4), thiophenyl (C4), pyrimidinyl (C4), 2-phenylpyrimidinyl (C4), pyridinyl (C5), 3-methylpyridinyl (C5) and 4-dimethylaminopyridinyl (C5). ii) heteroaryl rings containing 2 or more fused rings, one of which is a heteroaryl ring, non-limiting examples of which include: 7-purinyl (C5), 9 / - / - purinyl (C5), -amino-9H-purinyl (C5), 5 - / - pyrrolo [3,2-d] pihmdinol (Ce), 7H-pyrrolo [2,3-c] pyrimidinyl (C6), pyrido [ 2,3-d] pyrimidinyl (C7), 2-phenylbenzo [d] thiazolyl (C), 1H-indolyl (C8), 4,5,6,7-tetrahydro-1 - / - / - indolyl (Ce), quinoxalinyl (C8), 5-methylquinoxalinyl (C8), quinazolinyl (Ca), quinolinyl (Cg), 8-hydroxy-quinolinyl (Cg), and isoquinolinyl (Cg). 5) attached cyclic hydrocarbyl units of CrC6 (either carbocyclic units, aryl units of C6 or C10, heterocyclic units or heteroaryl units) that are connected to another portion, unit or nucleus of the molecule by means of an alkylene unit of Ci-C6 . Examples not Limits of adjoining cyclic hydrocarbyl units include benzyl C (C6) having the formula: wherein Ra is optionally one or more independently chosen hydrogen substitutions. Additional examples include other aryl units, inter alia, (2-hydroxyphenyl) hexyl C6- (C6); Naphthalene-2-ylmethyl Ci- (Cio), 4-fluorobenzyl Ci- (C6), 2- (3-hydroxy-phenyl) ethyl C2- (Ce), as well as substituted and unsubstituted C3-C10 alkylenecarboxylic acid units, example, cyclopropylmethyl Ci- (C3), cyclopentylethyl C2- (C5), cyclohexylmethyl Ci- (C6);. included within this category are unsubstituted and substituted d-C10 alkylene-heteroaryl units, for example a Ci- (C6) 2-picolyl unit having the formula: where Ra is the same as defined above. In addition, attached C1-C12 cyclic hydrocarbyl units include C1-C10 alkyleneheterocyclic units and alkylene-heteroaryl units, non-limiting examples of which include, aziridinylmethyl Ci- (C2) and oxazol-2-ylmethyl C-i- (C3).
For the purposes of the present disclosure, the carbocyclic rings are from C3 to C2o, the aryl rings are C6 or Ci0; the heterocyclic rings are from d to Cg, and the heteroaryl rings are from C1 to C9.
For purposes of the present description, and to provide consistency in defining the present disclosure, the fused ring units, as well as spirocyclic rings, bicyclic rings and the like, comprising a single hetero atom will be characterized and referred to herein as being encompassed by the cyclic family. corresponding to the ring containing heteroatom, although the person skilled in the art may have alternative characterizations. For example, 1, 2,3,4-tetrahydroquinoline having the formula: is, for the purposes of the present description, considered a heterocyclic unit. 6,7-Dihydro-5H-cyclopentapyrimidine having the formula: is, for the purposes of the present description, considered a heteroaryl unit. When a fused ring unit contains heteroatoms in both the saturated ring (heterocyclic ring) and an aryl ring (heteroaryl ring), the aryl ring will predominate and determine the type of category to which the ring is assigned here for the purposes of describing the description. For example, 1, 2,3,4-tetrahydro- [1,8] naphthyridine having the formula: is, for the purposes of the present description, considered a heteroaryl unit.
The term "substituted" is used throughout the specification. The term "substituted" is applied to the units described herein as "substituted unit or portion is a hydrocarbyl unit or portion, either acyclic or cyclic, having one or more hydrogen atoms replaced by a substituent or various substituents as defined herein later". The units, when they replace the hydrogen atoms, are able to replace a hydrogen atom, two hydrogen atoms or three hydrogen atoms of a hydrocarbyl portion at one time. In addition, these substituents can replace two hydrogen atoms in two adjacent carbons to form the substituent, new portion or unit. For example, a substituted unit that requires replacement of a single hydrogen atom includes halogen, hydroxyl and the like. A replacement of two hydrogen atoms includes carbonyl, oximino and the like. A replacement of two hydrogen atoms of adjacent carbon atoms includes epoxy and the like. The replacement of three hydrogens includes cyano and the like. The term "substituted" is used throughout the present specification to indicate that a hydrocarbyl portion, inter alia, aromatic ring, alkyl chain; it may have one or more of the hydrogen atoms replaced by a substituent. When A portion is described as "replaced" any number of hydrogen atoms can be replaced. For example, 4-hydroxyphenyl is a "substituted aromatic carbocyclic ring (aryl ring)", (N, N-dirnethyl-5-amino) octanyl is a "linear alkyl unit of substituted Cs, 3-guanidinopropyl is an" alkyl unit linear of substituted C3"and 2-carboxypyridinyl is a" substituted heteroaryl unit ".
The following are non-limiting examples of units that can substitute hydrogen atoms in a carbocyclic, aryl, heterocyclic or heteroaryl unit: i) linear alkyl of CrC12, branched of C3-C2 or substituted or unsubstituted C3-C12 cyclic; for example, methyl (C1), chloromethyl (Ci), trifluoromethyl (C1), aminomethyl (Ci), ethyl (C2), hydroxymethyl 1-chloroethyl (C2), 2-hydroxyethyl (C2), 1,2-difluoroethyl (C2) ), n-propyl (C3), / 'so-propyl (C3), 3-carboxypropyl (C3), cyclopropyl (C3), 2-methyl-cyclopropyl (C3), n-butyl (C4), sec-butyl ( C4), / 'so-butyl (C4), butyl (C4), cyclobutyl (C), 2,3-dihydroxycyclobutyl (C4), pentyl (C5), cyclopentyl (C5), hexyl (C6), and cyclohexyl (C6) and the like; ii) linear alkenyl of C-1-C12, branched of C3-Ci2 or substituted or unsubstituted C3-C12 cyclic; for example, ethenyl (C2), 2-chloroethenyl (also 2-chlorovinyl) (C2), 3-propenyl (C3), -propenyl (also 2-methylethylene) (C3), isopropenyl (also 2-methyleten-2-yl) ) (C3), buten-4-yl (C), 4-hydroxybuten-1-yl (C4), cyclobutenyl (C4), cyclopentenyl (C5), cyclopentadienyl (C5), cyclohexenyl (C &), 7-hydroxy- 7-methyloct-4-en-2-yl (Cg), and 7-hydroxy-7-methyloct-3,5-dien-2-yl (C9) and the like; iii) linear C2-Ci2 alkynyl or branched C3-C12 substituted or unsubstituted alkynyl; for example, ethynyl (C2), prop-2-ynyl (also propargyl) (C3), propin-1-yl (C3), 2-methyl-hex-4-yn-1-yl (C7); 5-hydroxy-5-methylhex-3-ynyl (C7), 6-hydroxy-6-methylhept-3-yn-2-yl (C8), 5-hydroxy-5-ethylhept-3-ynyl (Cg) and Similar; iv) substituted or unsubstituted C6 or C10 aryl; for example, phenyl, 2-chlorophenyl, 3-hydroxyphenyl, 4-nitrophenyl, 2-fluoro-4-methylphenyl, 3,5-dinitrophenyl, 8-hydroxynaphth-1-yl, 6-sulfonylnaphth-2-yl and the like; v) substituted or unsubstituted C1-C9 heterocyclic; for example, as further defined herein; vi) substituted or unsubstituted C Cn heteroaryl; for example, as further defined herein; vii) halogen; for example, fluoro, chlorine, bromine and iodine; viii) - [C (R23a) (R23b)] xOR10; R 0 is chosen from: a) -H; b) C1-C12 linear alkyl, branched C3-C12 or substituted or unsubstituted C3-C12 cyclic; c) substituted or unsubstituted C6 or C10 aryl or alkylenearyl; d) substituted or unsubstituted heterocyclic of CrC9; e) substituted or unsubstituted heteroaryl of C-1-C-11; ix) - [C (R23a) (R23b)] xN (R11a) (R11b); R11a and R11b are each independently chosen from: a) -H b) -OR 2; R 2 is hydrogen or linear alkyl of CrC 4; c) C1-C12 linear alkyl, branched C3-C12 or substituted or unsubstituted C3-C12 cyclic; d) substituted or unsubstituted aryl of Ce or C; e) substituted or unsubstituted heterocyclic of C1-C9; f) substituted or unsubstituted heteroaryl of C C-n; or g) R a and R 11 b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; x) - [C (R23a) (R23)] xC (O) R13; R13 is: a) linear C 1 -C 12 alkyl, branched C 3 -C 12 or substituted or unsubstituted C 3 -C 12 cyclic; b) -OR14; R14 is hydrogen, substituted or unsubstituted C1-C4 linear alkyl, substituted or unsubstituted aryl of Ce or C10, substituted or unsubstituted heterocyclic of C-i-Cg, substituted or unsubstituted heteroaryl of C-i-C; c) -N (R15a) (R15b); pisa and pi5b are preferably hydrogen, linear C 1 -C 12 alkyl, branched C 3 -C 12 or substituted or unsubstituted C 3 -C 12 cyclic; substituted or unsubstituted aryl of C6 or Ci0; substituted or unsubstituted heterocyclic of C C9; unsubstituted or substituted heteroaryl of C C or R15a and R15b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 selected heteroatoms of oxygen, nitrogen and sulfur; xi) - [C (R23a) (R23b)] xOC (0) R16; R16 is: a) linear alkyl of i-12, branched of C3-C12 or cyclic of C3-C12 substituted or unsubstituted; b) -N (R 7a) (R 17b); R17a and R7b are each independently hydrogen, C2C linear alkyl > branched C3-C12 or substituted or unsubstituted C3-C12 cyclic; substituted or unsubstituted aryl of C6 or Ci0; substituted or unsubstituted heterocyclic of CrC9; unsubstituted or substituted heteroaryl of C-i-C-n; or R17a and R17b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; xii) - [C (R23a) (R23b)] xNR18C (O) R19; R18 is: a) -H; or b) C1-C4 linear alkyl, branched C3-C4 or substituted or unsubstituted C3-C4 cyclic; R19 is: a) linear C 1 -C 12 alkyl, branched C 3 -C 12 or cyclic C 3 - Ci2 substituted or unsubstituted; b) -N (R20a) (R20b); R20a and R 0b are each independently hydrogen, linear CrC 2 alkyl, branched C 3 -C 12 or substituted or unsubstituted C 3 -C 12 cyclic; substituted or unsubstituted aryl of C6 or Ci0; substituted or unsubstituted heterocyclic of C1-C9; unsubstituted or substituted heteroaryl of Ci-Cn; or R20a and R20b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; xiii) - [C (R23a) (R23b)] xCN; xiv) - [C (R23a) (R23b)] xNO2; xv) - [C (R23a) (R23b)] xR21; R21 is C1-C10 linear alkyl, branched C3-C10 or C3-C10 cyclic substituted by 1 to 21 halogen atoms chosen from -F, -Cl, -Br, or -l; xvi) - [C (R 3a) (R23b)] xS02R22; R 22 is hydrogen, hydroxyl, linear C 1 -C 4 alkyl or branched C 3 -C 4 substituted or unsubstituted; alkylenearyl of Ce, substituted or unsubstituted C10, or C14 aryl; C7-C5 alkylenearyl; substituted or unsubstituted heterocyclic of C1-C9; or substituted or unsubstituted heteroaryl of CrCn; R23a and R23b are each independently hydrogen or C4 alkyl; Y the subscript x is an integer from 0 to 5.
The compounds described herein include all salt forms, for example, salts of basic groups, inter alia, amines, as well as salts of acidic groups, inter alia, carboxylic acids. The following are non-limiting examples of anions that can form salts with basic groups: chloride, bromide, iodide, sulfate, bisulfate, carbonate, bicarbonate, phosphate, formate, acetate, propionate, butyrate, pyruvate, lactate, oxalate, malonate, maleate, succinate, tartrate, fumarate, citrate and the like. The following are non-limiting examples of cations which can form salts of acid groups: sodium, lithium, potassium, calcium, magnesium, bismuth and the like.
For the purposes of the present description the terms "compound," "analogous" and "composition of matter" are also used by each other and include all enantiomeric forms, diastereomeric forms, salts and the like, and the terms "compound," " analogous "and" composition of matter ".
Inhibitors of HIF-1a prolyl hydroxylase The described compounds have the following formulas: wherein L is chosen from CH2 or SO2, thus providing substituted N-benzyl or substituted V-sulfonylaryl-3-hydroxypyridin-2- (1 - /) - ones. And, R1 and R2 are further defined hereinafter.
Hereby / substituted V-benzyl and / substituted V-sulfonylaryl-4-aminomethylene-3-hydroxypyridin-2- (1H) -ones which are inhibitors of HIF-1a prolyl hydroxylase having the formula: where R1 and R2 are further defined hereinafter.
Piperizin- 1-carboxylates of alkyl A category of these compounds refers to 4-. { [(1- / V- (chloro-fluoro-substituted) -benzyl] -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl) methyl} linear or branched C1-C4 alkyl piperazine-1-carboxylates having the formula: wherein Z is a phenyl group which is substituted with 1 to 5 halogen atoms which are chosen from chlorine and fluoro, and R1 and R2 are taken together to form a piperazine ring which is substituted with alkylcarboxy unit wherein R4 is chosen linear alkyl of CrC4 or branched alkyl of C3-C4, for example, 4 { [1- (4-chlorobenzyl) -3-hydroxy-2-oxo-1, 2-dihydropyridin-4-yl] methyl} piperzin-1-carboxylic acid-butyl ester having the formula: An aspect of units R4 refers to compounds wherein R4 is fer-butyl (C4). Another aspect of units R4 refers to compounds wherein R4 is methyl (C-i). An additional aspect of R4 units refers to compounds wherein R4 is ethyl (C2). An additional aspect of R4 units refers to compounds wherein R4 is chosen from n-propyl (C3), / so-propyl (C3), n-butyl (C4), sec-butyl (C4) and / or-butyl ( C4). R4 is not hydrogen, therefore, a carboxylate unit having the formula: -C02H is expressly excluded from this category, but may be included in other categories as described hereinafter.
Z is phenyl substituted with from 1 to 5 halogens chosen from fluorine and chlorine. An aspect of Z units refers to compounds wherein Z is 4-chlorophenyl. Another aspect of Z units refers to compounds wherein Z is chosen from 2-chlorophenyl, 3-chlorophenyl, 2-fluorophenyl, 3-fluorophenyl or 4-fluorophenyl. An additional aspect of Z units refers to compounds wherein Z is selected from 2,3-difluorophenyl, 2,4-difluorophenyl, 2,5-difluorophenyl, 2,6-difluorophenyl, 2,3-dichlorophenyl, 2,4- dichlorophenyl, 2,5-dichlorophenyl and 2,6-dichlorophenyl.
The following are non-limiting examples of compounds according to this category: 4-. { [1- (4-Chlorobenzyl) -3-hydroxy-2-oxo-1,2-d-hydropyridin-4-yl] methyl} methyl-piperazine-1-carboxylate having the formula: 4-. { [1- (3-chlorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} methyl-piperazine-1-carboxylate having the formula: 4-. { [1- (2-chlorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} methyl-piperazine-1-carboxylate having the formula: 4-. { [1- (4-chlorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} ethyl-piperazine-1-carboxylate having the formula: 4-. { [1- (3-chlorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} ethyl-piperazine-1-carboxylate having the formula: 4-. { [1- (2-chlorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} ethyl-piperazine-1-carboxylate having the formula: 4-. { [1- (4-chlorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} fer-butyl-piperazine-1-carboxylate having the formula: 4-. { [1- (3-Ciorobenzyl) -3-hydroxy-2-oxo-1,2-dihydroxy-4-yl] methyl} fer-butyl-piperazine-1-carboxylate having the formula: 4-. { [1- (2-chlorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} -piperazine-1-carboxylate of tert-butyl having the formula: 4-. { [1- (4-fluorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} methyl-piperazine-1-carboxylate having the formula: 4-. { [1- (3-fluorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} methyl-piperazine-1-carboxylate having the formula: 4-. { [1- (2-fluorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} methyl-piperazine-1-carboxylate having the formula: 4-. { [1- (4-fluorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} ethylpiperaz'ma-1-carboxylate having the formula: 4-. { [1- (3-fluorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} ethyl-piperazine-1-carboxylate having the formula: 4-. { [1- (2-fluorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} ethyl-piperazine-1-carboxylate having the formula: 4-. { [1- (4-fluorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} fer-butyl-piperazine-1-carboxylate having the formula: 4-. { [1- (3-fluorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} -piperzine-1-carboxylate of re-butyl having the formula: 4-. { [1 - (2-fluorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} tert-butyl piperazine-1-carboxylate having the formula: Another category of compounds related to unsubstituted / V-benzyl-4-aminomethyl-3-hydroxypyridin-2- (1H) -ones, wherein Z is an unsubstituted phenyl group, having the formula: wherein R1 and R2 are taken together to form a substituted or unsubstituted heterocyclic or heteroaryl ring.
A first aspect of this category refers to a compound that has the formula: wherein R and R2 are taken together to form a heterocyclic or substituted or unsubstituted heteroaryl ring represented by ring A having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms, and R200 represents 0 to 40 substitutions of the hydrogen. The subscript w is an integer from 0 to 40. Non-limiting examples of rings include diazirinyl (Ci), 1, 2,3,4-tetrazolyl (d), aziridinyl (C2), urazolyl (C2), [1, 2, 3] triazolyl (C2), [1, 2,4] triazolyl (C2), azetidinyl (C3), pyrazolidinyl (C3), imidazolidinyl (C3), oxazolidinyl (C3), isoxazolinyl (C3), isoxazolyl (C3), thiazolidinyl (C3), isothiazolyl (C3), isothiazolinyl (C3), oxathiazolidinonyl (C3), oxazolidinonyl (C3), hydantoinyl (C3), 1H-imidazolyl (C3), pyrrolidinyl (C4), morpholinyl (C4), piperazinyl (C4) ), piperidinyl (C4), piperidin-2-onyl (valerolactam) (C5), 7H-purinyl (C5), 9 / - / - purinyl (C5), 6-amino-9 / - / - purinyl (C5), 2,3,4,5-tetrahydro-1 / - / - azepinyl (C6), 5H-pyrrolo [3,2-d] pyrimidinyl (Ce), 7H-pyrrolo [2,3-d] pyrimidinyl (C6), and 1, 2,3,4-tetrahydroquinoline (C9).
Each R200 unit is independently chosen from: i) linear Ci-C2 alkyl, branched from C3-Ci2 or substituted or unsubstituted C3-C12 cyclic; for example, methyl (C1), (C1), chloromethyl (C1), trifluoromethyl (C 1, aminomethyl (Ci), ethyl (C 2), hydroxymethyl 1-chloroethyl (C 2), 2-hydroxyethyl (C 2), 1,2-difluoroethyl (C 2), n-propyl (C 3), propyl (C3), 3-carboxypropyl (C3), cyclopropyl (C3), 2-methyl-cyclopropyl (C3), n-butyl (C4), sec-butyl (C4), / so-butyl (C4), rer- butyl (C4), cyclobutyl (C4), 2,3-dihydroxycyclobutyl (C4), pentyl (C5), cyclopentyl (C5), hexyl (Ce), and cyclohexyl (C6) and the like; ii) linear C 1 -C 12 alkenyl, branched C 3 -C 12 or substituted or unsubstituted C 3 -C 12 cyclic; for example, ethenyl (C2), 2-chloroethenyl. { also 2-chlorovinyl) (C2), 3-propenyl (C3), 1-propenyl. { also 2-methylethenyl) (C3), isopropenyl. { also 2-methylen-2-ylo) (C3), buten-4-yl (C4), 4-hydroxybuten-1-yl (C4), cyclobutenyl (C4), cyclopentenyl (C5), cyclopentadienyl (C5), cyclohexenyl (C6), 7-hydroxy-7-methyloct-4-en-2-yl (C9), and 7-hydroxy-7-methyloct-3,5-dien-2-yl (C9) and the like; iii) linear C2-C- | 2 alkynyl or branched C3-C12 substituted or unsubstituted alkynyl; for example, ethynyl (C2), prop-2-ynyl. { also propargyl) (C3), propin-1-yl (C3), 2-methyl-hex-4-yn-1-yl (C7); 5-hydroxy-5-methylhex-3-ynyl (C7), 6-hydroxy-6-methylhept-3-yn-2-yl (C8), 5-hydroxy-5-ethylhept-3-ynyl (C9) and the like; iv) substituted or unsubstituted Cs or C10 aryl; for example, phenyl (C6), naphthylene-1-yl (C0), naphthylene-2-yl (C10), 4-fluorophenyl (C6), 2-hydroxyphenyl (C6), 3-methylphenyl (C6), 2- amino-4-fluorophenyl (C6), 2 - (/ V, A / -diethylamino) phenol (C6), 2-cyanophenyl (C6), 2,6-di-ter-6ur / 7-phenyl (C6) , 3-methoxyphenyl (C6), 8-hydroxynaphthylene-2-yl (C10), 4,5-dimethoxynaphthylene-1-yl (C10), 6-cyano-naphthylene-1-yl (C10) and the like; v) substituted or unsubstituted C 9 C heterocyclic; for example, diazirinyl (Ci), aziridinyl (C2), urazolyl (C2), azetidinyl (C3), pyrazolidinyl (C3), imidazolidinyl (C3), oxazolidinyl (C3), isoxazolinyl (C3), isoxazolyl (C3), thiazolidinyl ( C3), isothiazolyl (C3), isothiazolinyl (C3), oxathiazolidinonyl (C3), oxazolidinonyl (C3), hydantoinyl (C3), tetrahydrofuranyl (C4), pyrrolidinyl (C4), morpholinyl (C4), piperazinyl (C4), piperidinyl ( C4), dihydropyranyl (C5), tetrahydropyranyl (C5), piperidin-2-onyl (valerolactam) (C5) and the like; vi) substituted or unsubstituted C -C-n heteroaryl; for example, 1, 2,3,4-tetrazolyl (d), [1,2] triazolyl (C2), [1, 2,4] triazolyl (C2), triazinyl (C3), thiazolyl (C3), 1H-imidazolyl (C3), oxazolyl (C3), furanyl (C4), thiopheneyl (C4), pyrimidinyl (C4), pyridinyl (C5) and the like; vii) halogen; for example, -F, - Cl, -Br, or -I; viii) - [C (R37a) (R37b)] and OR24; R24 is chosen from: a) -H; b) linear Ci-Ci2 alkyl, branched C3-C2 or substituted or unsubstituted C3-Ci2 cyclic; c) C6 or C10 aryl or substituted or unsubstituted C7 or C10 alkylenearyl; for example, phenyl or benzyl; d) substituted or unsubstituted C 9 C heterocyclic; e) substituted or unsubstituted C Cn heteroaryl; for example, -OH, -CH2OH, -OCH3, -CH2OCH3, -OCH2CH3, -CH2OCH2CH3, -OCH2CH2CH3, and -CH2OCH2CH2CH3; ix) - [C (R37a) (R37)) and N (R25a) (R25b); R25a and R25b are each independently chosen from: a) -H; b) -OR26; R26 is hydrogen or linear alkyl of CrC4; c) C1-C12 linear alkyl, branched C3-C12 or substituted or unsubstituted C3-C2 cyclic; d) substituted or unsubstituted C6 or C0 aryl; e) substituted or unsubstituted C Cg heterocyclic; f) substituted or unsubstituted C 1 -C n heteroaryl; or g) R25a and R5b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; for example, -NH2, -CH2NH2, -NHCH3, -N (CH3) 2, -NHOH, -NHOCH3, -NH (CH2CH3), -CH2NHCH3, -CH2N (CH3) 2, -CH2NH (CH2CH3) and the like; x) - [C (R37a) (R37b)] and C (O) R27; R27 is: a) linear alkyl of C-i-Ci2, branched C3-C12 or substituted or unsubstituted C3-C12 cyclic; b) -OR28; R28 is hydrogen, substituted or unsubstituted C1-C4 linear alkyl, substituted or unsubstituted aryl of Ce or C10, unsubstituted or substituted heterocyclic of CrC9, substituted or unsubstituted heteroaryl of Ci-Cn; c) -N (R29a) (R29b); R29a and R29b are each independently hydrogen, linear C1-C12 alkyl, branched C3-C12 or substituted or unsubstituted C3-C12 cyclic; substituted or unsubstituted aryl of C6 or C10; substituted or unsubstituted heterocyclic of C1-C9; unsubstituted or substituted heteroaryl of C-i-Cn; or R29a and R29b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 selected heteroatoms of oxygen, nitrogen and sulfur; for example, -COCH3, -CH2COCH3, -OCH2CH3, -CH2COCH2CH3, -COCH2CH2CH3, -CH2COCH2CH2CH3 and the like; x!) - [C (R37a) (R37b)] and OC (0) R30; R30 is: a) linear, branched or substituted or unsubstituted cyclic alkyl of C C12; b) -N (R31a) (R31b); p3ia and p3ib are either one or more hydrogen, linear C1-C2 alkyl, branched C3-C12 or substituted or unsubstituted C3-C12 cyclic, substituted or unsubstituted C6 or C10 aryl, substituted heterocyclic or unsubstituted C1-C9; substituted or unsubstituted heteroaryl of Ci-Cn; or R3 a and R31 b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen oxygen, nitrogen and sulfur; for example, -OC (0) CH3, -CH2OC (0) CH3, -0C (O) NH2) -CH2OC (0) NH2, -OC (0) NHCH3, -CH2OC (O) NHCH3, -OC (0) N (CH3) 2, -CH2OC (0) N (CH3) 2 and the like; xii) - [C (R37a) (R37b)] and NR32C (0) R33; R32 is: a) -H; or b) C1-C4 linear alkyl, branched C3-C4 or substituted or unsubstituted C3-C4 cyclic; R33 is: a) linear alkyl of C Ci2, branched of C3-C2 or cyclic of C3-Ci2 substituted or unsubstituted; b) -N (R34a) (R34b); R3 a and R34b are each independently hydrogen, linear alkyl of C-1-C12, branched of C3-Ci2 or substituted or unsubstituted C3-C12 cyclic; substituted or unsubstituted aryl of Ce or C10; substituted or unsubstituted heterocyclic of C1-C9; substituted or unsubstituted heteroaryl of C-1-C1-1; or R34a and R34b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; for example, -NHC (0) CH3, -CH2NHC (0) CH3, -NHC (0) NH2, -CH2NHC (0) NH2, -NHC (O) NHCH3, -CH2NHC (0) NHCH3, -OC (0) N (CH3) 2, -CH2NHC (O) N (CH3) 2 and the like; xiii) - [C (R37a) (R37b)] and CN; for example; -CN, -CH2CN, and -CH2CH2CN; xiv) - [C (R37a) (R37b)] and N02; for example; -N02, -CH2N02, and -CH2CH2N02; xv) - [C (R37a) (R37b)] and R35; for example, -CH2F, -CHF2, -CF3, -CC, 0 -CBr3; R35 is C1-C10 linear alkyl, branched C3-C10 or C3-C10 cyclic substituted by 1 to 21 halogen atoms chosen from -F, -Cl, -Br, or -l; xvi) - [C (R37a) (R37)] and S02R36; R36 is hydrogen, hydroxyl, linear C ^ -C4 alkyl or branched C3-C4 substituted or unsubstituted; C6, C10 or C14 substituted or unsubstituted aryl; C7-C15 alkylearyl; substituted or unsubstituted heterocyclic C Cg; or substituted or unsubstituted heteroaryl of C Cn; for example, -S02H, -CH2S02H, -S02CH3, -CH2S02CH3, -SO2C6H5, and -CH2SO2C6H5; Y xv) two hydrogen atoms in a ring carbon atom can be substituted to form a unit = 0, = S o = NH; R37a and R37b are each independently hydrogen or C4 alkyl; Y the subscript y is an integer from 0 to 5.
A first embodiment of this aspect relates to compounds wherein R1 and R2 are taken together to form a substituted or unsubstituted 5-membered Ci-C4 heterocyclic or a substituted or unsubstituted Ci-C4 heteroaryl ring, non-limiting examples of which include ring chosen from: i) vii) A first iteration of this modality related to inhibitors of HIF-1a prolyl hydroxylase having the formula: R represents 0 to 2 substitutions for a hydrogen of the ring, wherein the substitutions for hydrogen are chosen independently of: i) linear alkyl of d-C4 or branched C3-C4 alkylate; ii) linear C 1 -C 4 alkoxy or branched C 3 CF 4 alkoxy; iii) hydroxyl; iv) cyano; v) nitro; vi) amino, methylamino or dimethylamino; vii) carboxy, methyl carboxy or ethyl carboxy; viii) formyl, acetyl or propionyl; ix) amido, methyl amido or dimethyl amido; x) halogen; xi) heterocyclic; or xii) heteroaryl.
Non-limiting examples of this iteration include prolyl hydroxylase inhibitors having the formula: An additional iteration of this embodiment related to HIF-1 prolyl hydroxylase inhibitors wherein R1 and R2 are taken together to form a 5-membered or substituted heterocyclic or unsubstituted heteroaryl ring having more than one heteroatom in the ring. Non-limiting examples include: Another embodiment of this aspect related to HIF-1a prolyl hydroxylase inhibitors wherein R and R2 are taken together to form a substituted or unsubstituted C4-C heterocyclic ring or a substituted or unsubstituted C4-C heteroaryl ring, non-limiting examples of which are chosen from: ) Another category of compounds has the formula: where R and the subscript w are the same as defined here before. R represents 0 to 5 substitutions for hydrogen, wherein each R is independently chosen from: i) C1-C12 substituted or unsubstituted linear, branched or cyclic alkyl; for example, methyl (Ci), (Ci), chloromethyl (C1), trifluoromethyl (C1), aminomethyl (C1), ethyl (C2), hydroxymethyl 1-chloroethyl (C2), 2-hydroxyethyl (C2), 1, 2 -difluoroethyl (C2), n-propyl (C3), / so-propyl (C3), 3-carboxypropyl (C3), cyclopropyl (C3), 2-methyl-cyclopropyl (C3), n-butyl (C4), sec -butyl (C4), / so-butyl (C4), tert-butyl (C4), cyclobutyl (C4), 2,3-dihydroxycyclobutyl (C4), pentyl (C5), cyclopentyl (C5), hexyl (C6) and cyclohexyl (C6) and the like; ii) linear, branched or unsubstituted cyclic alkenyl of CrCl2; for example, ethenyl (C2), 2-chloroethenyl. { also 2-chlorovinyl) (C2), 3-propenyl (C3), 1-propenyl. { also 2-methylethenyl) (C3), isopropenyl (also 2-methyleten-2-yl) (C3), buten-4-yl (C4), 4-hydroxybuten-1-yl (C4), cyclobutenyl (C4), cyclopentenyl (C5), cyclopentadienyl (C5), cyclohexenyl (C6), 7-hydroxy-7-methyl-4-en-2-yl (C9), and 7-hydroxy-7-methyl-5-methyl-3,5-dien-2- ilo (C9) and the like; iii) linear or branched substituted or unsubstituted alkynyl of C C 12; for example, ethynyl (C2), prop-2-ynyl (also propargyl) (C3), propin-1-yl (C3), 2-methyl-hex-4-yn-1-yl (C7) 5-h Droxy-5-methyl-ex-3-ynyl (C7), 6-hydroxy-6-methylhept-3-yn-2-yl (C8), 5-hydroxy-5-ethylhept-3-ynyl (C9) and the like; iv) substituted or unsubstituted aryl of C6 or do; for example, phenyl (C6), naphthylene-1-yl (C10), naphthylene-2-yl (C10), 4-fluorophenyl (C6), 2-hydroxyphenyl (C6), 3-methylphenyl (C6), 2-amino -4-fluorophenyl (C6), 2 - (/ V, / \ / - diethylamino) phenol (C6), 2-cyanophenyl (C6), 2,6-d¡-fer- / > tvf / 7-phenyl (C6), 3-methoxyphenyl (C6), 8-hydroxynaphthylene-2-yl (C0), 4,5-dimethoxynaphthylene-1-yl (C10), 6-cyano-naphthylene-1-yl (C10) ) and the like; v) substituted or unsubstituted heterocyclic of CrC9; for example, diazirinyl (Ci), aziridinyl (C2), urazolyl (C2), azetidinyl (C3), pyrazolidinyl (C3), imidazolidinyl (C3), oxazolidinyl (C3), isoxazolinyl (C3), isoxazolyl (C3), thiazolidinyl ( C3), isothiazolyl (C3), isothiazolinyl (C3), oxathiazolidinonyl (C3), oxazolidinonyl (C3), hydantoinyl (C3), tetrahydrofuranyl (C4), pyrrolidinyl (C4), morpholinyl (C4), piperazinyl (C4), piperidinyl ( C4), dihydropyranyl (C5), tetrahydropyranyl (C5), piperidin-2-onyl (valerolactam) (C5) and the like; vi) substituted or unsubstituted heteroaryl of C-i-C; for example, 1, 2,3,4-tetrazolyl (d), [1,2] triazolyl (C2), [1, 2,4] triazolyl (C2), triazinyl (C3), thiazolyl (C3), 1 / - / - midazolyl (C3), oxazolyl (C3), furanyl (C4), thiopheneyl (C4), pyrimidinyl (C), pyridinyl (C5) and the like; vii) halogen; for example, -F, -Cl, -Br, or -I; viii) - [C (R23a) (R23b)] xOR10; R 0 is chosen from: a) -H; b) C1-C12 substituted or unsubstituted linear, branched or cyclic alkyl; c) unsubstituted or substituted C6 or C6 aryl or substituted or unsubstituted heterocyclic C6 or C6 aryl or C6 alkyl; e) substituted or unsubstituted heteroaryl of Ci-C; for example, -OH, -CH2OH, -OCH3, -CH2OCH3, -OCH2CH3, -CH2OCH2CH3l -OCH2CH2CH3 and -CH2OCH2CH2CH3; - [C (R23a) (R23b)] xN (R11 a) (R1 1b); R1 1 a and R11b are each independently chosen from: a) -H; b) -OR12; R 12 is hydrogen or linear C 1 -C 4 alkyl; c) linear, branched or substituted or unsubstituted cyclic alkyl of C1-C12; d) substituted or unsubstituted aryl of Ce or C10", e) substituted or unsubstituted heterocyclic of C C9; f) substituted or unsubstituted heteroaryl of C C; or g) R 1 a and R 1 b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; for example, -NH2, -CH2NH2, -NHCH3, -N (CH3) 2, -NHOH, -NHOCH3, -NH (CH2CH3), -CH2NHCH3, -CH2N (CH3) 2, -CH2NH (CH2CH3) and the like; x) - [C (R23a) (R23b)] xC (O) R13; R13 is: a) linear, branched or substituted or unsubstituted cyclic alkyl of C1-C12; b) -OR14; R14 is hydrogen, linear alkyl of substituted or unsubstituted C4, substituted or unsubstituted aryl of Ce or C ^, substituted or unsubstituted heterocyclic of C1-C9, substituted or unsubstituted heteroaryl of C-i-C; c) -N (R15a) (R15b); pisa and p ^ i5b are each independently hydrogen, linear, branched or substituted or unsubstituted cyclic alkyl of C- | -C- | 2; substituted or unsubstituted aryl of C6 or C10; substituted or unsubstituted heterocyclic of C1-C9; substituted or unsubstituted heteroaryl of C-pCn; or R15a and R15b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 selected heteroatoms of oxygen, nitrogen and sulfur; for example, -COCH3, -CH2COCH3, -OCH2CH3, -CH2COCH2CH3, -COCH2CH2CH3, -CH2COCH2CH2CH3 and the like; xi) - [C (R23a) (R23b)] xOC (0) R16; R16 is: a) linear, branched or substituted or unsubstituted cyclic alkyl of b) -N (R1 a) (R1 D); i'a and pi / D are each independently hydrogen, linear, branched or substituted or unsubstituted cyclic of C1-C-12; substituted or unsubstituted aryl of C6 or Cio, substituted or unsubstituted heterocyclic of C1-C9; unsubstituted or substituted heteroaryl of C Cn; or R 7a and R 7 can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; xii) - [C (R23a) (R23b)] xNR18C (0) R19; R 8 is: a) -H; or b) substituted or unsubstituted linear, branched or cyclic alkyl of CrC12; R19 is: a) linear, branched or substituted or unsubstituted cyclic alkyl of C1-C12; b) -N (R20a) (R20b); R and R are each independently hydrogen, linear, branched or substituted or unsubstituted cyclic alkyl of C-1-C12; substituted or unsubstituted aryl of C6 or C10; substituted or unsubstituted heterocyclic of C1-C9; unsubstituted or substituted heteroaryl of C-pC; or R 0a and R 20b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; for example, -NHC (O) CH3, -CH2NHC (0) CH3, -NHC (0) NH2, -CH2NHC (O) NH2 > -NHC (0) NHCH3, -CH2NHC (0) NHCH3, -OC (0) N (CH3) 2, -CH2NHC (O) N (CH3) 2 and the like; xiii) - [C (R23a) (R23)] xCN; for example; -CN, -CH2CN, and -CH2CH2CN; xiv) - [C (R23a) (R23b)] xN02; for example; -N02, -CH2N02l and -CH2CH2N02; xv) - [C (R23a) (R23b)] xR21; for example, -CH2F, -CHF2, -CF3, -CCI3) or -CBr3; R21 is linear, branched or substituted cyclic alkyl of C-1-C 10 by from 1 to 21 halogen atoms chosen from -F, -Cl, -Br or -I; xvi) - [C (R23a) (R23b)] xS02R22; R22 is hydrogen, hydroxyl, linear alkyl,. branched or unsubstituted or substituted cyclic of CrC4; substituted or unsubstituted aryl of C6, Cio, or C14; C7-C15 alkylearyl; substituted or unsubstituted heterocyclic of C1-C9; or substituted or unsubstituted heteroaryl of Ci-Cn; for example, -SO2H, -CH2S02H, -S02CH3, -CH2S02CH3l -S02C6H5 and -CH2SO2C6H5; R23a and R23b are each independently hydrogen or CrC4 alkyl; Y the subscript x is an integer from 0 to 5.
Non-limiting examples of this category include compounds having the formula: An additional category of compounds refers to unsubstituted A / -benzyl-4-aminomethyl-3-hydroxypyridin-2- (1H) -ones having the formula: wherein R1 and R2 are each independently chosen from: i) hydrogen; ii) linear, branched or substituted or unsubstituted cyclic alkyl of iii) linear, branched or cyclic substituted or unsubstituted alkenyl iv) linear or branched substituted or unsubstituted alkynyl of C2- v) substituted or unsubstituted aryl of C6 or C-i0; vi) substituted or unsubstituted heterocyclic C Cg; or vii) substituted or unsubstituted heteroaryl of C1-C9.
The first aspect of this category refers to inhibitors of HIF-1a prolyl hydroxylase wherein R2 is hydrogen and R1 is unsubstituted or substituted d-C9 heterocyclic or C1-C9 heteroaryl. In a first embodiment, R1 is a substituted heterocyclic group, non-limiting examples of which include aziridinyl (C2), azetidinyl (C3), pyrrolidinyl (C4), morpholinyl (C4), piperazinyl (C4), piperidinyl (C4), piperidinyl- 2-onyl (valerolactam) (C5), and azepane-2-onyl (caprolactam) (C6), wherein the R1 unit can be attached to the nitrogen atom at any position in the ring. In addition, the C-i-Cg heterocyclic ring or C 1 -C 9 heteroaryl ring can be substituted at any position if a ring carbon or a ring heteroatom, for example, a ring nitrogen. Non-limiting examples of this modality include: In another embodiment, R2 is hydrogen and R1 is substituted or unsubstituted C3-C2 cycloalkyl wherein the cycloalkyl ring can be substituted at any position on the ring. Non-limiting examples of this modality include: An additional category of compounds refers to unsubstituted A / -benzyl-4-aminomethyl-3-hydroxypyridin-2- (1H) -ones having the formula: R1 and R2 are each independently hydrogen or linear or branched alkyl of substituted or unsubstituted C1-C10, wherein the alkyl unit can be substituted by one or more units independently chosen from: i) straight, branched or cyclic alkoxy of CrC8; ii) hydroxy; Ii) halogen; V) cyano; v) amino, mono-alkylamino of C Ce, d-alkylamino of C Ce; vi) -SR40; R40 is hydrogen or straight or branched alkyl of CrC4; vii) C aryl of substituted or unsubstituted C a -io; viii) substituted or unsubstituted CrC9 heterocyclic; or ix) substituted or unsubstituted C1-C9 heteroaryl.
Non-limiting examples of this category include: An additional category of the disclosed compounds has the formula: wherein R and the subscript w are the same as defined here above. R represents 0 to 5 substitutions for hydrogen, wherein each R is independently chosen from: i) linear alkyl of C-i-C-, branched C3-C12 or substituted or unsubstituted C3-C12 cyclic; for example, methyl (C1), (Ci), chloromethyl (C ^, trifluoromethyl (Ci), aminomethyl (C1), ethyl (C2), hydroxymethyl 1-chloroethyl (C2), 2-hydroxyethyl (C2), 1, 2 -difluoroethyl (C2), n-propyl (C3), / 'so-propyl (C3), 3-carboxypropyl (C3), cyclopropyl (C3), 2-methyl-cyclopropyl (C3), n-butyl (C4), sec-butyl (C4), / 'so-butyl (C4), fer-butyl (C4), cyclobutyl (C4), 2,3-dihydroxycyclobutyl (C4), pentyl (C5), cyclopentyl (C5), hexyl (C6) ), and cyclohexyl (C6) and the like; ii) linear C 2 -alkenyl, branched C 3 -C 12 or substituted or unsubstituted C 3 -C 12 cyclic, for example, ethenyl (C 2), 2-chloroethenyl (also 2-chlorovinyl) (C 2), 3-propenyl (C 3) ), 1-propenyl. { also 2-methylethenyl) (C3), isopropenyl (also 2-methyleten-2-yl) (C3), buten-4-yl (C4), 4-hydroxybuten-1-yl (C4), cyclobutenyl (C4), cyclopentenyl (C5), cyclopentadienyl (C5), cyclohexenyl (C6), 7-hydroxy-7-methyloct-4-en-2-yl (C9), and 7-hydroxy-7-methyloct-3,5-dien-2- ilo (C9) and the like; iii) linear C2-Ci2 alkynyl or branched C3-Ci2 substituted or unsubstituted alkynyl; for example, ethynyl (C2), prop-2-ynyl (also propargyl) (C3), propin-1-yl (C3), 2-methyl-hex-4-yn-1-yl (C7); 5-hydroxy-5-methylhex-3-ynyl (C7), 6-hydroxy-6-methylhept-3-yn-2-yl (C8), 5-hydroxy-5-ethylhept-3-ynyl (C9) and the like; iv) substituted or unsubstituted C6 or C10 aryl; for example, phenyl (C6), naphthylene-1-yl (C0), naphthylene-2-yl (C10), 4-fluorophenyl (C &), 2-hydroxyphenyl (C6), 3-methylphenyl (C6), 2 -amino-4-fluorophenyl (C6), 2 - (/ V, / V-diethylamino) phenyl (C6), 2-cyanophenyl (C6), 2,6-di-fer-6i / f / 7-phenyl (C6), 3-methoxyphenyl (C6), 8-hydroxynaphthylene-2-yl (C10), 4,5-dimethoxynaphthylene-1-yl (C-), 6-cyano-naphthylene-1-yl (C10) and the like; v) substituted or unsubstituted C 9 C heterocyclic; for example, diazirinyl (C1), aziridinyl (C2), urazolyl (C2), azetidinyl (C3), pyrazolidinyl (C3), imidazolidinyl (C3), oxazolidinyl (C3), isoxazolinyl (C3), isoxazolyl (C3), thiazolidinyl ( C3), isothiazolyl (C3), isothiazolinyl (C3), oxathiazolidinonyl (C3), oxazolidinonyl (C3), hydantoinyl (C3), tetrahydrofuranyl (C4), pyrrolidinyl (C4), morpholinyl (C4), piperazinyl (C4), piperidinyl ( C4), dihydropyranyl (C5), tetrahydropyranyl (C5), piperidin-2-onyl (valerolactam) (C5) and the like; vi) substituted or unsubstituted CrCn heteroaryl; for example, 1, 2,3,4-tetrazolyl (d), [1,2,3] triazolyl (C2), [1, 2,4] triazolyl (C2), triazinyl (C3), thiazolyl (C3), 1 H-imidazolyl (C3), oxazolyl (C3), furanyl (C4), thiopheneyl (C4), pyrimidinyl (C4), pyridinyl (C5) and the like; vii) halogen; for example, -F, -Cl, -Br or -I; viii) - [C (R23a) (R23b)] xOR10; R 0 is chosen from: a) -H; b) Ci-Ci2 linear alkyl, branched from C3-d2 or substituted or unsubstituted C3-Ci2 cyclic; c) Ce or C10 aryl or substituted or unsubstituted C7 or C10 alkylenearyl; d) substituted or unsubstituted C1-C9 heterocyclic; e) substituted or unsubstituted C 1 -C n heteroaryl; for example, -OH, -CH2OH, -OCH3, -CH2OCH3, -OCH2CH3, -CH2OCH2CH3, -OCH2CH2CH3 and -CH2OCH2CH2CH3; ix) - [C (R23a) (R3b)] xN (R11a) (R1); Stack and Rnb are each independently from: a) -H; b) -OR12; R 2 is hydrogen or linear C 1 -C 4 alkyl; c) C1-C12 linear alkyl, branched C3-C12 or substituted or unsubstituted C3-C12 cyclic; d) substituted or unsubstituted C6 or C10 aryl; e) substituted or unsubstituted C1-C9 heterocyclic; f) substituted or unsubstituted C Cn heteroaryl; or g) R11a and R11b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; for example, -NH2, -CH2NH2, -NHCH3, -N (CH3) 2, -NHOH, -NHOCH3, -NH (CH2CH3), -CH2NHCH3, -CH2N (CH3) 2l-CH2NH (CH2CH3) and the like; x) - [C (R23a) (R23b)] xC (0) R13; R13 is: a) Ci-C12 linear alkyl, branched from C3-Ci2 or substituted or unsubstituted C3-C12 cyclic; b) -OR14; R 4 is hydrogen, substituted or unsubstituted C 1 -C 4 linear alkyl, C & aryl; or substituted or unsubstituted C-i0, substituted or unsubstituted C1-C9 heterocyclic, substituted or unsubstituted C-i-C-n heteroaryl; c) -N (R15a) (R15); R 5a and R 15b are each independently hydrogen, linear C 1 -C 12 alkyl, branched C 3 -Ci 2 or substituted or unsubstituted C 3 -C 12 cyclic; aril of C & or C10 substituted or unsubstituted; C 1 -C 9 heterocyclic substituted or unsubstituted; C-i-Cn heteroaryl substituted or unsubstituted; or 15a and R15b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; for example, -COCH3, -CH2COCH3, -OCH2CH3, -CH2COCH2CH3, -COCH2CH2CH3, -CH2COCH2CH2CH3 and the like; xi) - [C (R23a) (R23b)] xOC (0) R16; R16 is: a) linear, branched or substituted or unsubstituted cyclic alkyl of CrCl2; b) -N (R17a) (R17b); i7a and i7b SQn ca (.}. to one (preferably hydrogen, linear alkyl of C Ci2, branched of C3-Ci2 or cyclic of C3-C12 substituted or unsubstituted, aryl of C & Cio substituted or not substituted, substituted or unsubstituted C-pCg heterocyclic, substituted or unsubstituted CC heteroaryl, or pi7a and pi7b may be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; xii) - [C (R23a) (R23b)] xNR18C (0) R19; R18 is: a) -H; or b) linear alkyl of CrC4, branched of C3-C4 or substituted or unsubstituted C3-C4 cyclic; R19 is: a) C1-C12 linear alkyl, branched from C3-C-12 or substituted or unsubstituted C3-C12 cyclic; b) -N (R20a) (R20b); R 20a and R 20b are each independently hydrogen, linear C 1 -C 12 alkyl, branched C 3 -C 12 or substituted or unsubstituted C 3 -C 12 cyclic; Ce or C-io substituted or unsubstituted aryl; C 1 -C 9 heterocyclic substituted or unsubstituted; C 1 substituted or unsubstituted heteroaryl; or R20a and R20b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; for example, -NHC (0) CH3, -CH2NHC (0) CH3, -NHC (0) NH2, -CH2NHC (0) NH2, -NHC (0) NHCH3, -CH2NHC (0) NHCH3l -OC (0) N (CH3) 2, -CH2NHC (0) N (CH3) 2 and the like; xiii) - [C (R23a) (R23b)] xCN; for example; -CN, -CH2CN, and -CH2CH2CN; xiv) - [C (R23a) (R23b)] xN02; for example; -N02, -CH2N02, and -CH2CH2N02; xv) - [C (R23a) (R 3b)] xR21; for example, -CH2F, -CHF2 > -CF3, -CCI3, or -CBr3; R21 is linear, branched or cyclic C-1-C10 alkyl substituted by 1 to 21 halogen atoms chosen from -F, -Cl, -Br or -I; xvi) - [C (R 3a) (R23b)] xS02R22; R is hydrogen, hydroxyl, linear C 1 -C 4 alkyl or branched C 3 -C 4 substituted or unsubstituted; C6, C10 or C4 aryl substituted or unsubstituted; substituted or unsubstituted C7-Ci5 heterocyclic C1-C9 alkylenearyl; or C Cn heteroaryl substituted or unsubstituted; for example, -SO2H, -CH2S02H, -SO2CH3, -CH2SO2CH3, -SO2C6H5 and -CH2S02C6H5; R23a and R23b are each independently hydrogen or CrC4 alkyl; Y the subscript x is an integer from 0 to 5.
One aspect of this category refers to HIF-1a prolyl hydroxylase inhibitors wherein R1 and R2 are taken together to form a substituted or unsubstituted 5-membered C1-C4 heterocyclic or a substituted or unsubstituted C1-C4 heteroaryl ring. substituted, non-limiting examples of which include a ring chosen from: i) Another aspect of this category relates to HIF-1a prolyl hydroxylase inhibitors wherein R1 and R2 are taken together to form a substituted or unsubstituted C4-Cn heterocyclic or a substituted or unsubstituted C4-Cn heteroaryl ring, examples non-limiting of which are chosen from: Non-limiting examples of this category include compounds having the formula: wherein R represents from 1 to 5 optional substitutions for a hydrogen atom of the phenyl ring, R1 and R2 are each independently hydrogen or linear or branched alkyl of substituted or unsubstituted C, C, wherein the alkyl unit can be substituted by one or more units independently chosen from: i) linear C 1 alkoxy, branched C 3 -C 8 alkoxy, or cyclic C 3 -C 6 alkoxy; ii) hydroxy; iii) halogen; iv) cyano; v) amino, C-C8 mono-alkylamino, di-alkylamino of Ci-Cs; vi) -SR40; R40 is hydrogen or straight or branched alkyl of C C4; vii) substituted or unsubstituted C? to C aryl; viii) substituted or unsubstituted C1-C9 heterocyclic; or x) substituted or unsubstituted C1-C9 heteroaryl.
Non-limiting examples of this category include: A further category of the disclosed HIF-1a prolyl hydroxylase inhibitors refers to compounds having the formula: wherein R1 and R2 are taken together to form a substituted or unsubstituted piperazine ring, the substitutions in the ring as defined for R200 above.
An additional category of the described HIF-1a prolyl hydroxylase inhibitors have the formula: wherein R1 and R2 can be taken together to form a heterocyclic or substituted or unsubstituted heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms wherein the rings formed exclude a piperazine ring.
Also disclosed herein are benzyl / V-substituted or sulfonaryl-3-hydroxypyridin-2- (1 / - /) -ans A / -substituted having the formula: which can be used to stimulate the cellular immune response in a subject. For these compounds, Z and L are the same as described above. Non-limiting examples of these compounds include: 1- (4-chlorobenzyl) -3-hydroxypyridin-2 (1 H) -one having the formula: 1- (3-chlorobenzyl) -3-hydroxypyridin-2 (1 H) -one having the formula: Y 1- (2-chlorobenzyl) -3-hydroxypyridin-2 (H) -one having the formula: In addition, benzyl / V-substituted or sulfonaryl-5-substituted-3-hydroxypyridin-2- (1 / - /) -one / V-substituted ones having the formula: wherein Y is substituted or unsubstituted phenyl, Z and L are the same as defined herein above.
Y aspect refers to phenyl group which is substituted with from 1 to 5 halogen atoms, for example, Y is chosen from 2-chlorophenyl, 3-chlorophenyl, 2-fluorophenyl, 3-fluorophenyl, or 4-fluorophenyl. An additional aspect of units Y refers to compounds wherein Y is chosen from 2,3-difluorophenyl, 2,4-difluorophenyl, 2,5-difluorophenyl, 2,6-difluorophenyl, 2,3-dichlorophenyl, 2,4- dichlorophenyl, 2,5-dichlorophenyl and 2,6-dichlorophenyl.
A non-limiting example of compounds according to this category include 1- (4-chlorobenzyl) -5- (4-chlorophenyl) -3-hydroxypyridin-2 (1 - /) -one having the formula: Additional non-limiting examples include: 1- (2-chlorobenzyl) -5- (2-chlorophenyl) -3-hydroxypyridin-2 (1H) 1- (2-chlorobenzyl) -5- (3-chlorophenyl) -3-hydroxypyridin-2 (1H) -one; 1- (2-chlorobenzyl) -5- (4-chlorophenyl) -3-hydroxypyridin-2 (1H) -one; 1- (3-chlorobenzyl) -5- (2-chlorophenyl) -3-hydroxypyridin-2 (1H) 1- (3-chlorobenzyl) -5- (3-chlorophenyl) -3-hydroxypyridin-2 (1 H) -one; - (3-chlorobenzyl) -5- (4-chlorophenol) -3-hydroxypyridin-2 (1 H) -one; - (4-chlorobenzyl) -5- (2-chlorophenyl) -3-hydroxypropyl-2 (1 H) -one; - (4-chlorobenzyl) -5- (3-chlorophenyl) -3-hydroxypyrin-2 (1 H) -one; - (2-fluorobenzyl) -5- (2-chlorophenol) -3-hydroxy-pyridin-2 (1H) -one; - (2-fluorobenzyl) -5- (3-chlorophenol) -3-h -droxypyridin-2 (1H) -one; - (2-fluorobenzyl) -5- (4-chlorophenyl) -3-hydroxy-pyridin-2 (1 H) -one - (3-fluorobenzyl) -5- (2-chlorophenyl) -3- hydroxypyrdin-2 (1 H) -one; - (3-fluorobenzyl) -5- (3-chlorophenol) -3-hydroxypiirn-2 (1 H) -one; - (3-fluorobenzyl) -5- (4-chlorophenol) -3-hydroxypyridin-2 (1 H) -one; - (4-fluorobenzyl) -5- (2-chlorophenyl) -3-hydroxypyridin-2 (1 H) -one; - (4-fluorobenzyl) -5- (3-chlorophenyl) -3-hydroxypyridin-2 (1 H) -one - (4-fluorobenzyl) -5- (4-chlorophenyl) -3-hydroxypyridin -2 (1 H) -one - (2-chlorobenzyl) -5- (2-fluorophenyl) -3-hydroxypyridin-2 (1 H) -one; - (2-chlorobenzyl) -5- (3-fluorophenyl) -3-hydroxy-pyridin-2 (1 H) -one; - (2-chlorobenzyl) -5- (4-fluorophenyl) -3-hydroxypyridin-2 (1 H) -one; - (3-chlorobenzyl) -5- (2-fluorophenyl) -3-hydroxy-pyridin-2 (1 H) -one; - (3-chlorobenzyl) -5- (3-fluorophenyl) -3-hydroxypyridin-2 (1 H) -one; - (3-chlorobenzyl) -5- (4-fluorophenyl) -3-hydroxypyridin-2 (1 H) -one; - (4-chlorobenzyl) -5- (2-fluorophenyl) -3-hydroxy-pyridin-2 (1 H) -one; - (4-chlorobenzyl) -5- (3-fluorophenyl) -3-hydroxypyridin-2 (1 H) -one; - (4-chlorobenzyl) -5- (3-fluorophenyl) -3-hydroxy-pyridine-2 (1 H) -one - (2-fluorobenzyl) -5- (2-fluorophenyl) -3-hydroxypyridin-2 (1 H) -one; - (2-fluorobenzyl) -5- (3-fluorophenyl) -3-hydroxypyridin-2 (1 H) -one; 1- (2-fluorobenzyl) -5- (4-fluorophenyl) -3-hydroxypyridin-2 (1 H) -one; 1- (3-fluorobenzyl) -5- (2-fluorophenyl) -3-hydroxypyridin-2 (1 H) -one; 1- (3-fluorobenzyl) -5- (3-fluorophenyl) -3-hydroxy-pyridin-2 (1 H) -one; 1- (3-fluorobenzyl) -5- (4-fluorophenyl) -3-hydroxypyridin-2 (1 H) -one; 1- (4-fluorobenzyl) -5- (2-fluorophenyl) -3-hydroxypyridin-2 (1H) -one; 1- (4-fluorobenzyl) -5- (3-fluorophenyl) -3-hydroxypyridin-2 (1 H) -one; Y 1- (4-fluorobenzyl) -5- (3-fluorophenyl) -3-hydroxypyridin-2 (1 H) -one.
The disclosed compounds are organized into several categories for the strictly non-limiting purpose of describing alternatives for synthetic strategies for the preparation of subgenres of compounds within the scope of the described compounds that are not expressly illustrated herein. This mental organization in categories implies nothing with respect to increased or decreased biological efficacy with respect to any of the compounds or compositions of matter described herein.
Category I of the HIF-1a prolyl hydroxylase inhibitors described refers to compounds having the formula: wherein A is a heterocyclic or substituted or unsubstituted heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms, R200 represents from 0 to 40 substitutions of hydrogen, R represents from 1 to 5 substitutions for hydrogen as it was previously defined, and the subscript n is from 1 to 5. Table I provides representative examples of compounds in accordance with this category.
TABLE I The compounds described in this category can be prepared by the method outlined below in Scheme I and described in Example 1.
SCHEME I 1 Reagents and conditions: (a) TBDMSCI, imidazole, DMF: t.r., 30 1 2 Reagents and conditions: (b) (4-chloro) benzyl chloride, Cs2C03, 2. 3 Reagents and conditions: (c) 5 M HCl, EtOH; 30 min.
Reagents and conditions: (d) (i) H2CHO, AcOH, t-Boc-piperazine, EtOH; 3 days.
EXAMPLE 1 (f1- (4-chlorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-ylmethyl) piperazine-1-carboxylic acid fer-butyl ester (4) Preparation of 3- (fer-butyldimethylsilanyloxy) -1H-pyridin-2-one (1): 3-Hydroxypyridin-2 (1 / - /) - one (15 g, 135 mmol) and imidazole (23 g, 338 mmol) they were suspended in dimethylformamide (200 mL) under an inert atmosphere. A solution of er-butyldimethylsilyl chloride (20.5 g, 136 mmol) in dimethylformamide (200 mL) was added dropwise at room temperature for 30 minutes. The reaction was then allowed to stir overnight. The resulting solution was then poured into water (300 mL) and the mixture was extracted with tert-butyl methyl ether (3 x 500 mL). The combined organic layer was washed with water (300 mL), brine (300 mL) then dried over Na2SO4. The solvent was removed under reduced pressure and the crude product was crystallized from heptanes to give 16.3 g (53% yield) of the desired product. 1 H NMR (250 MHz, CDCl 3) d ppm 12.98 (1 H, m); 6.91 (1 H, dd, J = 1. Hz, J = 6.8 Hz); 6.81 (1 H, dd, J = 1.8 Hz, J = 7.2 Hz); 6.02 - 6.007 (1 H, m); 0.90 (9H, s), and 0.17 (6H, s).
Preparation of 3- (tert-butyldimethylsilaloyloxy) -1 - (3-chlorobenzyl) -1 H -pyridin-2-one (2): At 0 ° C under an inert atmosphere, a solution of 4-chlorobenzyl chloride ( 4.44 mmoles) in THF (10 mL) was added dropwise to a solution of 3 - (/ er-butyldimethylsilanyloxy) -1 / - / - pyridin-2-one, 1, (1 g, 4.44 mmoles) and CSCO3 (2.17 g, 6.66 mmol) in THF (10 mL). The reaction solution was allowed to warm to room temperature and stirring was continued overnight. The resulting solution was diluted with water (40 mL) and then extracted with EtOAc (3 x 30 mL). The combined organic layer was washed with brine (30 mL) then dried over Na2SO4. The solvent was removed under reduced pressure and the crude product was purified on silica (EtOAc: heptane 4: 1) to give the desired product as a white solid.
Preparation of 1- (4-chlorobenzyl) -3-hydroxypyridin-2 (1H) -one (3): To a solution of 3- (i-butyldimethylsilanyloxy) -1- (3-chlorobenzyl) -1 - / - pyridine- 2-one, 2, (2.36 g, 10 mmol) in EtOAc (25 mL) was added 5 M HCl (25 mL) with vigorous stirring at room temperature. The reaction was monitored by CCD for the disappearance of the starting material and completed in 30 minutes. The organic layer was decanted and the aqueous phase was extracted with dichloromethane (2 x 50 mL). The combined organic layers were dried over Na2SO4 and the solvent was removed under reduced pressure. The crude product was recrystallized from dichloromethane. The yield was almost quantitative. 1 H NMR (360 MHz, DMSO-d 6) d ppm 5.12 (2H, s); 6.13 (1 H, t, J = 7.04); 6.71 (1 H, dd, J = 7.04, 1.59); 7.23-7.28 (2H, m); 7.36-7.43 (2H, m); 9.10 (1H, br. S).
Preparation of . { [1- (4-chlorobenzyl) -3-hydroxy-2-oxo-1,2-dihydro-pyridin-4-yl] methyl} Piperazine-1-butyl ether (4): piperazine-1-carboxylic acid fer-butyl ester (97.6 mmol), formaldehyde (8 mL of a 37% solution, 97.6 mmol) and acetic acid (8 mL) were added. dissolved in ethanol (350 mL) and the solution was stirred for 1 hour at room temperature. A solution of 1- (4-chlorobenzyl) -3-hydroxypyridin-2 (1 / - /) -one, 3, (48.8 mmol) in ethanol (350 mL) was added dropwise over 30 minutes. After 3 days of stirring, formaldehyde (3 mL) was added and the reaction was heated to 50 ° C, after which the reaction solution was concentrated under reduced pressure to about 500 mL. The desired product was obtained by crystallization from ethanol. 1 H NMR (250 MHz, CDCl 3) d ppm 1.46 (s, 9H); 2.38-2.57 (m, 4H); 3.40-3.49 (m, 4H); 3.51 (s, 2H); 5.13 (s, 2H) ¡6.13 (d, J = 7.16 Hz), 1 H) ¡6.79 (d, J = 7.16 Hz, 1 H); 7.20-7.41 (m, 4H); 8.33-8.85 (m, 1 H).
The biological data described refer to A41.
Category II of the disclosed prolyl hydroxylase inhibitors refers to compounds having the formula: wherein A is a heterocyclic or substituted or unsubstituted heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms, and R200 represents from 0 to 40 substitutions of hydrogen. Table II provides representative examples of compounds in accordance with this category.
TABLE II The compounds according to category II can be prepared according to the procedure outlined in scheme I and described in example 1. The following are additional examples of inhibitors according to category II. 1-Benzyl-3-hydroxy-4- (piperidin-1-ylmethyl) pyridin-2 (1/4) -one: 1 H NMR (300 MHz, CD 3 OD) d 1.81 (m, 6H), 3.07 (m, 2H), 3.51 (m, 2H), 4.23 (s, 2H), 5.24 (s, 2H), 6.31 (d, J = 6.9 Hz, 1 H), 7.35 (m, 6H); 9F NMR (252 MHz, CD3OD) d 85.5; 13 C NMR (75 MHz, DMSO) d 21.3, 22.7, 51.8, 52.5, 53.1, 106.4, 117.4, 127.7, 128.0, 128.2, 128.9, 137.3, 147.4, 158.0; ES MS (M + 1) 299.12; HRMS calculated for C18H22N202, 298.38. Found (M + 1) 299.17. 1-Benzyl-3-hydroxy-4- (moi1olin-4-ylmethyl) pyridin-2 (1 / - /) - one: H NMR (300 MHz, DMSO) d 3.25 (m, 4 H), 3.81 (m, 4 H), 4.18 (s, 2 H), 5.17 (s, 2 H), 6.31 (d, J = 6.9 Hz, 1 H), 7.35 (m, 6H); 19 F NMR (300 MHz, DMSO) d 88.5; 13 C NMR (300 MHz, DMSO) d 51.6, 51.8, 53.4, 63.5, 107.9, 119.1, 127.8, 128.0, 128.2, 128.9, 137.3, 147.5, 158.3; ES MS (M + 1) 301.12; HRMS calculated for C 7 H 2 or 2 O 3, 300.35. 1-Benzyl-3-hydroxy-4- (thiomorpholin-4-ylmethyl) pyridin-2 (1H) -one: H NMR (300 MHz, DMSO) d 2.92 (m, 4H), 3.38 (m, 4H), 4.17 (s, 2H), 5.16 (s, 2H), 6.29 (d, J = 7.5 Hz, 1H), 7.34 (m, 6H), 9.97 (s, 1H); 19 F NMR (300 MHz, DMSO) d 88.4; 13 C NMR (75 MHz, DMSO) d 24.3, 51.9, 53.4, 53.7, 107.9, 110.9, 127.8, 128.0, 128.2, 128.8, 137.2, 147.6, 157.6; ES MS (M + 1) 317.14; HRMS calculated for C17H2oN2O2S, 316.42. Found: (M + 1) 317.13. 1-Benzyl-3-hydroxy-4- (thiazolidin-3-ylmethyl) pyridin-2 (1 / -) -one: 1 H NMR (300 MHz, DMSO) d 3.09 (t, J = 6.3 Hz, 2H), 3.42 (t, J = 6. 3 Hz, 2H), 4.03 (s, 2H), 4.29 (s, 2H), 5.16 (s, 2H), 6.34 (d, J = 7.2 Hz, 1 H), 7.34 (m, 6H), 10.48 (width s, 1 H); 19 F NMR (300 MHz, DMSO) d 87.9; 13 C NMR (75 MHz, DMSO) d 28.3, 48.3, 50.1, 56.3, 57.0, 107.4, 122.1, 127.8, 128.2, 128.8, 137.4, 146.3, 157.6; ES MS (M + 1) 303.08; Analysis calculated for C18H19N2O4SF, C, 51.92; H, 4.60; N, 6.73; S, 7.70. Found: C, 51.67; H, 4.48; N, 6.69; S, 7.65. 1-Benzyl-3-hydroxy-4- (pyrrolidin-1-ylmethyl) pyridine-2 (1 H) -one: 1 H NMR (300 MHz, DMSO) d 1.96 (s, 4 H), 3.16 (s, 2 H), 3.43 (s, 2 H), 4.23 (s, 4 H), 5.17 (s, 2 H), 6.34 (d, J = 7.2 Hz, 1 H), 7.34 (m, 6H); 19 F NMR (252 MHz, DMSO) d 88.7; 13 C NMR (75 MHz, DMSO) d 22.8, 50.9, 51.8, 53.7, 107.3, 1 18.0, 128.0, 128.2, 128.9, 137.3, 146.7, 157.6; ES MS (M + 1) 285.13; Analysis calculated for C19H2iF3N2O4, C, 57.28; H, 5.31; N, 7.03. Found: C, 57.10; H, 5.11, N, 7.02. 1 - . 1-Benzyl-3-hydroxy-4- (4-benzylpiperidin-1-ylmethyl) pyridin-2 (1 H) -one: 1 H NMR (DMSO) d 1.43 (m, 2 H), 1.72 (m, 4 H), 2.96 (m, 2 H), 3.41 (m, 3H), 4.09 (s, 2H), 5.16 (s, 2H), 6.34 (d, J = 7.2 Hz, 1 H), 7.35 (m, 11 H); 1SF NMR (252 MHz, DMSO) d 88.8; 13 C NMR (75 MHz, DMSO) d; ES MS (M + 1) 389.21; HRMS calculated for C25H28 2O2, 388.50. Found (M + 1) 389.22. 1 - . 1-Benzyl-3-hydroxy-4- (4-benzylpiperazin-1-ylmethyl) pyridin-2 (1 H) -one: H NMR (300 MHz, DMSO) d 3.11 (broad s, 4H), 3.81 ( s, 2H), 4.18 (s, 2H), 5.15 (s, 2H), 6.24 (d, J = 7.2 Hz, 1 H), 7.34 (m, 6H), 7.46 (m, 5H); 9F NMR (252 MHz, DMSO) d 88.2; 13 C (75 MHz, DMSO) d; ES MS (M + 1) 390.21; HRMS calculated for C24H27 3O2, 389.49. Found (M + 1) 390.21. 1-Benzyl-3-hydroxy-4-f (3-hydroxypyrrolidin-1-yl) metillpyridin-2 (1 - /) - one: 1 H NMR (300 MHz, DMSO) d 1.90 (m, 1 H), 3.18 (m, 2 H), 3.47. (m, 3H), 4.24 (s, 2H), 4.43 (s, 1 H), 5.17 (s, 2H), 6.34 (d, J = 7.2 Hz, 1H), 7.34 (m, 6H); 19 F NMR (252 MHz, DMSO) d 89.0; 3 C NMR (75 MHz, DMSO) d 51.8, 52.6, 61.3, 68.6, 107.4, 117.9, 128.0, 128.2, 128.9, 137.3, 146.7, 157.6; ES MS (M + 1) 301.13; HRMS calculated for Ci 7 H 2 o N 2 O 3, 300.35. Found: (M + 1) 301.15. 1-Benzyl-3-hydroxy-4- (1,4-dioxa-8-azaspiro [4,5ldec-8-ylmethyl) pyridin-2 (1 H) -one: 1 H NMR (300 MHz, DMSO) d 1.90 (m, 4 H), 3.11 (m, 2 H), 3.43 (m, 2 H), 3.93 (s, 4 H), 4.19 (s, 2 H), 5.16 (s, 2 H) , 6.34 (d, J = 7.2 Hz, 1 H), 7.34 (m, 6H), 10.01 (width s, 1H); 9F NMR (252 MHz, DMSO) d 88.3; 13 C NMR (75 MHz, DMSO) d 31.7, 50.7, 51.9, 52.5, 64.5, 101.1, 108.0, 116.5, 127.8, 128.0, 128.3, 128.9, 137.3, 147.5 157.6; ES MS (M + 1) 357.19; HRMS calculated for C20H24 4O2, 356.42. Found (M + 1) 357.18. 1-Benzyl-3-hydroxy-4-azepan-1-ylmethylpyridin-2 (1 / - /) - one: 1 H NMR (300 MHz, DMSO) d 1.61 (m, 4 H), 1.80 (m, 4 H), 3.20 (m, 4 H), 4.17 (s, 2 H), 5.16 (s, 2 H), 6.34 (d, J = 7.2 Hz, 1H), 7.34 (m, 6H); 9F NMR (252 MHz, DMSO) d 88.9; 13 C NMR (75 MHz, DMSO) d 22.8, 26.4, 51.8, 53.4, 54.4, 107.6, 117.2, 127.9, 128.0, 18.2, 128.9, 137.3, 147.2, 157.6; ES MS (M + 1) 313.18; HRMS calculated for C19H24N2O4, 312.41. Found (M + 1) 313.19. 1-Benzyl-3-hydroxy-4- (azocan-1-ylmetinpyridin-2 (1 / -) -one: 1 H NMR (300 MHz, DMSO) d 1.59 (m, 10H), 3.18 (m, 2H), 3.38. (m, 2H), 4.17 (s, 2H), 5.16 (s, 2H), 6.34 (d, J = 7.2 Hz, 1H), 7.34 (m, 6H); 19 F NMR (252 MHz, DMSO) d 88.9; 3 C NMR (75 MHz, DMSO) d; ES EM (M + 1) 327. 2; HRMS calculated for C20H26N2O2, 326.43. Found (M + 1) 327.20. 1-Benzyl-3-hydroxy- (1,4'-bipiperidinyl-1'-ylmethyl) pyridin-2 (1H) -one: 1 H NMR (300 MHz, DMSO) d 1.43-1.98 (m, 10H), 2.21 ( m, 2H), 3.01 (m, 4H), 3.43 (m, 3H), 4.12 (s, 2H), 5.16 (s, 2H), 6.34 (d, J = 7.2 Hz, 1 H), 7.34 (m, 6H), 9.85 (width s, 1 H); 19 F NMR (252 MHz, DMSO) d 88.7; 13 C NMR (75 MHz, DMSO) d 21.6, 22.9, 23.8, 49.6, 50.5, 51.8, 53.0, 59.5, 108.0, 127.8, 128.0, 128.2, 128.9, 137.3, 147.5, 157.6; ES MS (M + 1) 382.4; HRMS calculated for C23H31 N3O2, 383.51. Found (M + 1) 382.25. 1-Benzyl-3-hydroxy-4-f (3,4-dihydroquinohn-1 (2 ^ -yl) metillpyridin-2 (1H) -one: H NMR (300 MHz, DMSO) d 3.13 (t, J = 6.3 Hz, 2H), 3.52 (m 2H), 4.28 (s, 2H), 4.41 (s, 2H), 5.18 (s, 2H), 6.34 (d, J = 7.2 Hz, 1 H), 7.23-7.41 (m, 10H), 10.15 (s wide) , 1 HOUR); 9F NMR (252 MHz, DMSO) d 88.9; 13 C NMR (75 MHz, DMSO) d 25.4; 49.3, 51.8, 52.7, 52.9, 107.6, 11.6, 116.8, 126.9, 127.0, 127.9, 128.0, 128.1, 128.2, 128.8, 128.9, 131.7, 137.3, 147.3, 157.6; ES MS (M + 1) 347.40; HRMS calculated for C22H22 2O2, 346.42. Found 1 - [(1-benzyl-3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl) methyl-pyrrolidin-2-carboxylic acid methyl ester: 1 H NMR (300 MHz, DMSO) d 2.01 (m, 3 H), 2.45 (m, 1 H), 3.26 (m, 1 H), 3.53 (m, 1 H), 3.69 (s, 3 H), 4.30 (m , 3H), 5.17 (s, 2H), 6.27 (d, 6.9 Hz, 1 H), 7.35 (m, 6H), 19F NMR (252 MHz, DMSO) d 88.3; 13 C NMR (75 MHz, DMSO) d; ES MS (M + 1) 343.20; HRMS calculated for C19H22N2O4, 342.39. Found (M + 1) 1-Benzyl-3-hydroxy-4-. { [2- (methoxymethyl) pyrrolidin-1-ylmethyl) pyridin-2 (1 H) -one: H NMR (300 MHz, DMSO) d 1.71 (m, 1 H), 1.84 (m, 1 H), 1.99 (m, 1 H), 2.15 (m, 1 H), 3.19 (m, 1 H), 3.30 (s, 3H), 3.41 (m, 1 H), 3.62 (m, 2H), 3.77 (m, 1H), 4.15 (m, 1H), 4.39 (m, 1H), 5.17 (s, 2H), 6.34 (d, J = 7.2 Hz, 1 H), 7.34 (m, 6H); 9.60 (width s, 1H); 19 F NMR (252 MHz, DMSO) d 88.3; 13 C NMR (75 MHz, DMSO) d; ES MS (M + 1) 329.2; HRMS calculated for C ^ h ^ NzOa, 328.41. Found (M + 1) 1-Benzyl-3-hydroxy-4-. { [2- (pyridin-2-yl) pyrrolidin-1-inmethyl) pyridin-2 (1 H) -one: 1 H NMR (300 MHz, DMSO) d 2.12 (m, 4 H), 3.39 (m, 1 H), 3.63 (m, 1 H), 4.07 (m, 2 H), 4.60 (m, 1 H), 5.10 (m, 2H), 6.15 (d, J = 6.9 Hz, 1H), 7.33 (m, 6H), 7.44 (m, 1 H), 8.05 (d, J = 8.1 Hz, 1 H), 8.59 (d, J = 4.8 Hz, 1 H), 8.74 (s, 1 H); 19 F NMR (252 MHz, DMSO) d 88.0; ES MS (M + 1) 362.22; HRMS calculated for C22H23N3O2, 361.44. Found (M + 1). 1-Benzyl-3-hydroxy-4- [4- (6-chloropyridazin-3-yl) piperazin-1-ylmethylpyridin-2 (1 H) -one: H NMR (300 MHz, DMSO) d 3.18 (m, 2H), 3.48 (m, 4H), 4.19 (s, 2H), 4.46 (m, 2H), 5.16 (s, 2H), 6.62 (d, J = 7.2 Hz, 1 H), 7.35 (m, 6H), 7.48 (m, 1H), 7.68 (m, 1H), 11.5 (width s, 1H); 13 C NMR (75 MHz, DMSO) d 42.1, 50.3, 51.9, 52.5, 108.2, 116.2; 118.0, 128.0, 128.2, 128.9, 129.8, 137.3, 147.4 ,. 157.6, 158.8; ES MS (M + 1) 476.09. HRMS calculated for C21 H22CIN5N3O2, 411.88. Found (M + 1) 412.76. 1-Benzyl-3-hydroxy-4-f4- (2-methoxyphenyl) piperazin-1-ylmethyl-1-pyridin-2 (1 /) -one: H NMR (300 MHz, DMSO) d 2.95 (m, 2H), 3.30 (m, 2H), 3.48 (m, 4H), 3.80 (s, 3H), 4.25 (s, 2H), 5.18 (s, 2H) , 6.34 (d, J = 7.2 Hz, 1 H), 6.93 (m, 2H), 7.01 (m, 2H), 7.34 (m, 6H); 19 F NMR (252 MHz, DMSO) d 88.5; 13 C NMR (75 MHz, DMSO) d 47.2, 51.8, 53.0, 55.3, 108.1, 112.2, 114.8, 116.2, 118. 6, 121.2, 123.8, 127.8, 128.0, 128.9, 137.3, 139.6, 147.5, 152.2, 157.6; ES MS (M + 1) 405.82; HRMS calculated for C 24 H 27 N 3 O 3, 405.49. Found (M + 1) 406.21.
Category III of the disclosed prolyl hydroxylase inhibitors refers to compounds having the formula: R and R2 are each independently hydrogen or substituted or unsubstituted linear or branched C1-C10 alkyl, wherein the alkyl unit may be substituted by one or more units independently chosen from: i) linear C-i-C8, branched C3-C8, or cyclic alkoxy of C3-Ce; I) hydroxy; iii) halogen; iv) cyano; v) amino, mono-alkylamino of C-i-Ce, di-alkylamino of C-i-Ce; vi) -SR; R is hydrogen or linear C1-C4 or branched alkyl of C3-C4; vii) substituted or unsubstituted C6 or C10 aryl; viii) substituted or unsubstituted C1-C9 heterocyclic; or ix) substituted or unsubstituted C9 C heteroaryl.
Table III below provides non-limiting examples of compounds covered by this category.
TABLE III The compounds described in this category can be prepared by the process outlined hereinafter in Scheme II and described in Example 2.
SCHEME II Reagents and conditions: (a) (i) HCHO, EtOH; 0.5 hr (i) 3- (1 -H-imidazol-1-yl) propan-1-amine; 2 hr.
EXAMPLE 2 1-Benzyl-3-hydroxy-4- (f3- (1-H-imidazol-1-yl) propylamino-methyl) -pyridin-2 (1 H) -one (6) A / -Benzyl-3-hydroxy-pyridin-2 (1H) -one (5) can be prepared according to Example 1 using benzyl bromide or benzyl chloride in step (b) instead of sodium chloride. (4-chloro) benzyl. 1 - . 1-Benzyl-3-hydroxy-4-. { [3- (1 - / - / - imidazol-1-yl) propylamino] methyl} pyridin-2 (1H) -one (6): / V-Benzyl-3-hydroxypyridin-2 (1 H) -one (5) (250 mg, 1.23 mmol) and formaldehyde (200 mg, 273 eq.) were combined in aqueous ethanol (10 ml_) and stirred for 30 minutes. 3- (1-H-lmidazol-1-yl) propan-1 -amine (340 mg, 2.7 mmol) was then added and the reaction was stirred for 12 hours. The solvent was removed by evaporation and the residue was dissolved in methanol (2 mL) and purified by prep HPLC, eluting with water / acetonitrile to give the desired product as the trifluoroacetate salt. 1 H NMR (300 MHz, DMSO) d 2.19 (m, 2 H), 2.97 (m, 2 H), 4.02 (s, 2 H), 4.30 (t, J = 6.6 Hz, 2 H); 5.17 (s, 2H), 6.30 (d, J = 6.9 Hz, 1 H), 7.36 (m, 6H), 7.26 (s, 1H), 7.76 (s, 1H), 9.03 (s, 1 H), 9.11 (s, 1 H); 19 F NMR (252 MHz, DMSO) d 88.5; 13 C NMR (75 MHz, DMSO) d 26.5, 44.0, 46.0, 51.8, 106.8, 118.7, 120.5, 122.2, 127.9, 128.2, 128.9, 135.8, 137.4, 146.0, 158.2; ES MS (M + 1) 339.05; HRMS calculated for C 9H22N4O2, 338.44. Found (M + 1) 339.18.
The following are additional non-limiting examples of this appearance of the prolihydroxylase inhibitors HIF-1a described. 1-Benzyl-3-hydroxy-4- (benzylaminomethyl) pyridin-2 (1 / -) -one: 1 H NMR (300 MHz, DMSO) d 4.01 (s, 2 H), 4.20 (s, 2 H), 5.16 (s, 2 H), 6.34 (d, J = 7.2 Hz, 1 H), 7.36 (m, 11 H) , 9.16 (width s, 1 H); 19 F R N (252 MHz, DMSO) d 88.6; 13 C NMR (75 MHz, DMSO) d; ES MS (M + 1) 321.16; Analysis calculated for C 22 H 21 F 3 N 2 O 4, C, 60.83; H, 4.87; N, 6.45. Found: C, 60.75; H, 4.56; N, 6.34. 1-Benzyl-3-hydroxy-4-. { [(2- (pyridin-2-yl) ethylaminolmethyl) pyridin-2 (1 H) -one: 1 H NMR (300 MHz, DMSO) d 3.26 (m, 2 H), 3.37 (m, 2 H), 4.08 (s, 2 H), 5.17 (s, 2 H); 6.34 (d, J = 7.2 Hz, 1 H), 7.38 (m, 6H), 7.86 (d, J = 5.7 Hz, 2H), 8.84 (m, 2H), 9.32 (width s, 1H); 9F NMR (252 MHz, DMSO) d 88.6; 13 C NMR (75 MHz, DMSO) d 31.5, 44.1, 46.3, 51.8, 106.9, 114.8, 127.1, 128.1, 128.8, 137.4, 143.8, 146.1, 155.3, 157.5, 158.4; ES MS (M + 1) 336.18; HRMS Calculated for C2oH2iN3O2, 335.40. Found: 336.16. 1-Benzyl-3-hydroxy-4- (TeiraniaroTuran-α-ylmethyl) aminolmethyl > pyridin-2 (1H) -one: 1 H NMR (300 MHz, DMSO) d 1.56 (m, 1 H), 1.86 (m, 2 H), 1.99 (m, 1 H), 2.92 (m, 1 H), 3.05 (m, 1 H), 3.80 ( m, 2H), 4.09 (m, 3H), 5.16 (s, 2H), 6.34 (d, J = 7.2 Hz, 1 H), 7.34 (m, 6H); 8.91 (width s, 1 H) 19 F NMR (252 MHz, DMSO) d 88.5; 3 C NMR (75 MHz, DMSO) d; ES MS (M + 1) 315.16; HRMS. calculated for C18H22N2O3, 314.38. Found (M + 1) 315.16. 1-Benzyl-3-hydroxy-4 - [(2-methoxy-ethylamino) methyl-1-pyridin-2 (1H) -one: 1 H NMR (300 MHz, DMSO) d 3.13 (broad s, 2H), 3.30 (s, 3H) , 3. 59 (t, J = 5.4 Hz, 2H), 4.02 (s, 2H), 5.16 (s, 2H), 6.34 (d, J = 7.2 Hz, 1 H), 7.34 (m, 6H), 8.91 (s wide) , 1 HOUR); 9F NMR (252 MHz, DMSO) d 88.4; 13 C NMR (252 MHz, DMSO) d; ES MS (M + 1) 289.13; HRMS calculated for C 16 H 2 o N 2 O 3, 288.34. Found (M + 1) 289.15. 1-Benzyl-3-hydroxy-4 - [(1-hydroxy-2-methylpropan-2-ylamino) methyl-1-pyridin-2 (1 -) -one: 1 H NMR (300 MHz, DMSO) d 1.27 (s, 6 H), 3.49 (s, 2 H), 3.95 (s, 2 H), 5.17 (s, 2 H), 6.34 (d, J = 7.2 Hz, 1 H), 7.34 (m, 6H), 8.47 (width s, 2H), 9.94 (width s, 1 H); 19 F NMR (252 MHz, DMSO) d 88.7; 3 C NMR (75 MHz, DMSO) d; ES MS (M + 1) 303.19; HRMS calculated for C17H22 2O3, 302.37. Found (M + 1) 303.17. 1-Benzyl-3-hydroxy-4 - [(pyridin-4-ylmethylamino) metinpyridin-2 (1 H) -one: 1 H NMR (300 MHz, DMSO) d 4.07 (s, 2 H), 4.32 (s, 2 H), 5.16 (s, 2 H), 6.34 (d, J = 7.2 Hz, 1 H), 7.34 (m, 6 H) ); 7.62 (d, J = 5.7 Hz, 2H), 8.71 (d, J = 4.5 Hz, 2H); 19 F NMR (252 MHz, DMSO) d 88.0; 13 C NMR (75 MHz, DMSO) d; ES MS (M + 1) 322.17; HRMS calculated for C19H19N302, 321.37. Found (M + 1) 322.15. 1 - . 1-Benzyl-3-hydroxy 4-. { [(furan-2-ylmethyl) aminolmethyl) pyridin-2 (1 H) -one: H NMR (300 MHz, DMSO) d 4.00 (s, 2H), 4.28 (s, 2H), 5.16 (s, 2H), 6.27 (d, J = 6.9 Hz, 1 H), 6.54 (m, 1 H) , 6.65 (m, 1 H), 7.34 (m, 6H), 7.80 (m, 1H), 9.27 (width s, 1 H); 19 F NMR (252 MHz, DMSO) d 88.3; 13 C NMR (75 MHz, DMSO) d; ES MS (M + 1) 323.15; HRMS calculated for C18H18N203, 310.35. Found (M + 1) 1-Benzyl-3-hydroxy-4-. { [2- (methylthio) ethylamino-1-methyl) pyridin-2 (1 H) -one: 1 H NMR (300 MHz, DMSO) d 2.10 (s, 3 H), 2.74 (t, J = 6.9 Hz, 2 H), 3.16 (t, J = 8.1 Hz, 2H), 4.05 (s, 2H), 5.17 (s, 2H), 6.34 (d, J = 7.2 Hz, 1 H), 7.34 (m, 6H), 19F NMR (252 MHz, DMSO) d 89.0; ES MS (M + 1) 305.14, HRMS calculated for C 16 H 20 N 2 O 2 S, 304.41. Found (M + 1) 1-Benzyl-3-hydroxy-4 - [(4-methoxybenzylamino) metillpyridin-2 (1 / -) -one: H NMR (300 MHz, DMSO) d 3.70 (s, 3 H), 3.98 (s, 2 H), 4.13 (s, 2H), 5.16 (s, 2H), 6.28 (d, J = 7.5 Hz, 1 H), 7.00 (d, J = 9.0 Hz, 4H), 7.34 (m, 6H); 9.07 (width s, 1 H); 19 F NMR (252 MHz, DMSO) d 89.0; ES MS (M + 1) 351.10; HRMS calculated for C21H22N2O3, 350.41. Found (M + 1) 351.17. 1-Benzyl-3-hydroxy-4 - [(1-phenylethylamino) metillpyridin-2 (1 / -) -one: H NMR (300 MHz, DMSO) d 1.59 (d, J = 7.2 Hz, 3H) , 3.71-3.93 (m, 2H), 4.45 (m, 1 H), 5.15 (s, 2H), 6.28 (d, J = 7.5 Hz, 1H), 7.34 (m, 1 1 H); 19 F NMR (252 MHz, DMSO) d 88.9; 13 C NMR (75 MHz, DMSO) d 19.6, 42.5, 51.7, 58. 0, 106.8, 1 19.3, 128.0, 128.1, 128.2, 128.9, 129.3, 129.4, 137.3, 145.9, 158. 3; ES MS (M + 1) 335.13; HRMS calculated for C21H22N2O2, 334.41.
Found (M + 1) 335.17. 1-Benzyl-3-hydroxy-4- (cycloheptylaminomet) l) pyridine-2 (1 / -) -one: 1 H NMR (300 MHz, DMSO) d 1.55 (m, 10H), 2.03 (m, 2H ), 3.18 (s, 1 H), 3.99 (m, 2H), 5.17 (s, 2H), 6.32 (d, J = 6.9 Hz, 1 H), 7.35 (m, 6H), 8.65 (width s, 2H) ), 9.98 (width s, 1 H); 19 F NMR (252 MHz, DMSO) d 88.6; 13 C NMR (75 MHz, DMSO) d 23.0, 27.2, 30.4, 41.6, 51.7, 58.9, 107.0, 1 1 1.7, 127.9, 128.0, 128.2, 128.8, 137.4, 146.0, 157.5; ES MS (M + 1) 327.13; HRMS calculated for C2oH26N202l 326.43. Found (M + 1) 327.20. 1 - . 1-Benzyl-3-hydroxy-4-y (4-methylcyclohexylamino) metillpyridin-2 (1 H) -one: 1 H NMR (300 MHz, DMSO) d 0.93 (d, J = 6.9 Hz, 3 H), 1.38 (m, 4 H), 1.74 (m, 4 H), 2.05 (m, 1 H), 3.10 (m, 1 H), 4.01 (s, 2H), 5.17 (s, 2H), 6.31 (m, 1H), 7.34 (m, 6H), 8.05 (width s, 2H), 9.98 (width s, 1H); 9F NMR (252 MHz, DMSO) d 88.9; ES MS (M + 1) 327.14; HRMS calculated for C20H26N2O2, 326.43; found (M + 1) 372.20. 1-Benzyl-3-hydroxy-4-f (1-benzylpiperidn-4-ylamino) metillpyridin-2 (1H) -one: H NMR (300 MHz, DMSO) d 1.77 (m, 2H), 2.31 (m, 2H), 2.98. (m, 2H), 3.30 (m, 3H), 3.46 (m, 2H), 4.03 (s, 2H), .29 (s, 2H), 5.16 (s, 2H), 6.30 (d, J = 7.5 Hz , 1H), 7.34 (m, 6H), 7.49 (s, 5H), 9.12 (width s, 1H), 10.05 (width s, 1H); 19 F NMR (252 MHz, DMSO) d 88.8; 13C NMR (75 MHz, DMSO)? 27.1, 43.4, 51.8, 52.1, 54.2, 54.7, 57.6, 106.9, 118.5, 128.0, 128.1, 128.8, 129.3, 129.8, 130.7, 131.3, 137.3, 146.2, 157.4; ES MS (M + 1) 404.56; HRMS calculated for C25H28 3O2, 403.52. Found (M + 1) 404.23. 3-f (1-Benzyl-3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl) methylamino-1azepan-2-one: 1 H NMR (300 MHz, DMSO) d 1.25 (m, 1 H), 1.59 (m, 2 H), 1.74 (m, 1 H), 1.92 (m, 1 H), 2.10 (m, 1 H), 3.18 (m, 3 H) , 4.03 (s, 2H), 4.2 (m, 1H), 5.17 (s, 2H), 6.33 (d, J = 7.5 Hz, 1H), 7.34 (m, 6H), 8.31 (t, J = 5.4 Hz, 1H), 9.07 (width s, 2H), 9.90 (width s, 1H); 19 F NMR (252 MHz, DMSO) d 88.4; 13 C NMR (75 MHz, DMSO) d 27.0, 27.2, 28.4, 43.4, 51.7, 59.3, 107.1, 18.9, 127.8, 127.9, 128.1, 128.9, 137.4, 146.0, 157.5, 166.3; ES MS (M + 1) 342.01; HRMS calculated for C19H23N3O3, 341.40. Found (M + 1) 342.18. 1-Benzyl-3-hydroxy-4 - [(1-benzyl-pyrrolidin-3-ylamino) methynpyridin-2 (1H) -one: H NMR (300 MHz, DMSO) d 2.22 (m, 2H), 2.42 (m, 1H), 3.39 (m, 3H), 3.68 (m, 1H), 4.06 (s, 2H), 4.39 (s, 2H) , 5.17 (s, 2H), 6.33 (d, J = 7.5 Hz, 1H), 7.30-7.52 (m, 11H); 19 F NMR (252 MHz, DMSO) d 88.5; 13 C NMR (75 MHz, DMSO) d 27.1, 43.4, 51.8, 52.1, 54.2, 54.7, 57.5, 106.9, 118.5, 128.0, 128.8, 129.3, 129.8, 130.7, 131.3, 137.3, 146.2, 157.5; ES MS (M + 1) 390.14; HRMS calculated for C 24 H 27 N 3 O 2, 389.49. Found (M + 1) 390.21. () -1-Benzyl-3-hydroxy-4 - [(1-phenylethylamino) methylpyridin-2 (1 ^ -one: H NMR (300 MHz, DMSO) d 1.58 (d, J = 6.9 Hz, 3H ), 3.74 (m, 2H), 4.44 (m, 1H), 5.14 (s, 2H), 6.23 (d, J = 7.2 Hz, 1H), 7.35 (m, 6H); 19F NMR (252 MHz, DMSO) d 89.4; 13 C NMR (75 MHz, DMSO) d 19.6, 42.6, 51.7, 58.0, 106.9, 18.7, 128.0, 128.1, 128.8, 129.3, 129.4, 137.2, 137.4, 145.9, 157. 5; ES MS (M + 1) 335.13; Analysis calculated for C2iH22N2O2 > 334.41.
Found (M + 1) 335.31. 1-Benzyl-3-hydroxy-4 - [([1,1,3-dioxolan-2-ylmethylmethylamino) methan-pyridin-2 (1 / - /) -one: 1 H NMR (300 MHz, DMSO) d 2.81 (s, 3 H), 3.35 (d, J = 3.9 Hz, 2 H), 3.89 (m, 2 H), 4.01 (m, 2 H), 4.21 (m, 2 H), 5.17 (s, 2H); 5.27 (t, J = 3.9 Hz, 1H), 6.34 (d, J = 7.2 Hz, 1H), 7.35 (m, 6H); 9F NMR (252 MHz, DMSO) d 88.5; 3 C NMR (75 MHz, DMSO) d; ES MS (M + 1) 331.18; HRMS calculated for C18H22N2O4, 330.38. Found (M + 1) 331.16.
Category IV of the disclosed prolyl hydroxylase inhibitors refers to compounds having the formula: wherein A represents a ring A optionally substituted by one or more R200 units. Table IV provides non-limiting examples of this category.
TABLE IV The compounds described in this category can be prepared by the process outlined hereinafter in Scheme III and described in Example 3.
SCHEME 1 Reagents and conditions: (a) (i) n-BuLi, TsCI, THF; -78 ° C to t.a., 1 hr; (I) HCl, MeOH; tr, 1 hr. 7 8 Reagents and conditions: (b) pyrrolidine, HCHO, H20 / EtOH; tr, 12 hr.
EXAMPLE 3 1- (4'-Metnbenzenesulfonyl) -3-hydroxy ^ - (pyrrolidin-1-ylmethyl) pyridine-2 (1 H -one) 1- (4'-Methylbenzenesulfonyl) -3-hydroxypyridin-2 (1 - /) - one (7): To a stirred solution of 3 - [(re-butyldimethylsilyl) oxy] pyridin-2 (1H) -one (1 ) (4.66 g, 20.7 mmol) in dry THF (150 mL), maintained at -78 ° C under an atmosphere of dry nitrogen was added n-butyl lithium (1.6 M solution in hexane, 21.0 mmol). After 20 minutes, 4-methyl-benzenesulfonyl chloride (3.95 g, 20.7 mmol) was added to a THF solution. The solution was allowed to warm to room temperature for one hour, water (10 mL) was added and the contents of the reaction vessel were extracted with EtOAc (3x), washed with brine (1x), dried over Na 2 SO 4 and concentrated . The combined organic layers were dried over Na2SO4 and concentrated. The residue was taken up in ethanol (10 mL) and treated with conc. HCl. (2 mL). The mixture was allowed to stir for 1 hour and the solvent was removed under reduced pressure to give the desired compound as a white solid.
H NMR (300 MHz, DMSO) d 2.43 (s, 3 H), 6.14 (t, J = 6.9 Hz, 1 H), 6.76 (dd, J = 7.65 Hz, 1.5 Hz, 1 H), 7.18 (dd, J = 6.6 Hz, 1.8 Hz, 1 H), 7.32 (d, J = 7.3 Hz, 2H), 7. 98 (d, J = 7.9 Hz, 2H). 1- (4'-ethylbenzenesulfonyl) -3-hydroxy-4- (pyrrolidin-1-ylmethyl) pyridin-2 (1H) -one (8): 1- (4'-Methylbenzenesulfonyl) -3-hydroxypyridin-2 (1H ) -one (7) (250 mg, 0.94 mmol) and formaldehyde (200 mg, 2.07 mmol) were combined in aqueous ethanol (10 mL) and stirred for 30 minutes. Pyrrolidine (1.9 mg, 2.07 mmol) was then added and the reaction was stirred for 12 hours. The solvent was removed by evaporation and the residue was dissolved in methanol (5 mL) and purified by prep HPLC, eluting with water / acetonitrile to give the desired product. 1 H NMR (300 MHz, DMSO) d 1.87 (m, 2 H), 1.99 (m, 2 H), 2.44 (s, 3 H), 3.09 (m, 2 H), 3.40 (m, 2 H), 4.19 (s, 2 H) , 6.51 (d, J = 7.5 Hz, 1 H), 7.51 (d, J = 8.4 Hz, 1H), 7.76 (d, J = 7.5 Hz, 1H), 7.98 (d, J = 8.1 Hz, 1H), 9.93 (width s, 1H); 19 F NMR (252 MHz, DMSO) d 88.4; 13 C NMR (75 MHz, DMSO) d 21.5, 22.7, 50.5, 53.7, 108.7, 118.6, 119.4, 128.4, 129.7, 130.1, 133.1, 146.8, 147.7, 156.2; ES MS (M + 1) 349.25; HRMS calculated for C17H2oN2O4S, 348.42. Found (M + 1) 349.42.
The following are additional non-limiting examples of prolyl hydroxylase inhibitors according to this category. 1- (4'-Methylbenzenesulfonyl) -3-hydroxy-4-thiazolidin-3-ylmethylpyridin-2 (1H) -one: H NMR (300 MHz, DMSO) d 2.43 (s, 3H), 2.94 (t, J = 6.6 MHz, 2H), 3.18 (t, J = 6.0 Hz, 2H), 3.66 (s, 2H), 4.12 (s, 2H), 6.51 (d, J = 7.5 Hz, 1 H), 7.51 (d, J = 8.4 Hz, 1 H), 7.76 (d, J = 7.5 Hz, 1 H), 7.98 (d, J = 8.1 Hz, 1 H), 19 F NMR (252 MHz, DMSO) d 87.9; 13 C NMR (75 MHz, DMSO) d 21.5, 21.9, 24.6, 25.8, 50.3, 51.6, 108.7, 118.6, 120.8, 129.7, 130.1, 133.1, 146.9, 148.1, 156.1, 158.4, 158.8; ES MS (M + 1) 367.18; HRMS calculated for C 16 H 18 N 2 O 4 S 2, 366.46. Found (M + 1) 367.43. 1- (4'-Met.lbenzenesulfonyl) -3-hydroxy-4-azocan-1-ylmethylpyridin-2 (1 H) -one: 1 H NMR (300 MHz, DMSO) d 1.59 (m, 10H), 2.44 ( s, 3H), 3.17 (m, 2H), 3.32 (m, 2H), 4.15 (s, 2H), 6.51 (d, J = 7.5 Hz, 1 H), 7.51 (d, J = 8.4 Hz, 1 H ), 7.76 (d, J = 7.5 Hz, 1 H), 7.98 (d, J = 8.1 Hz); 19 F NMR (252 MHz, DMSO) d 88.7; 13 C NMR (75 MHz, DMSO) d 21.5, 21.9, 23.7, 24.6, 25.8, 50.3, 51.6, 108.7, 1 18.9, 120.8, 129.8, 130.1, 133.1, 146.9, 148.2, 156.1; ES MS (M + 1) 391.18; HRMS calculated for C20H26N2O4S, 390.18. Found (M + 1) 391.23. 1- (4'-Met.lbenzenesulfonyl) -3-hydroxy-4- (4-phenylpiperazin-1-ylmethyl) -pyridn-2 (1 H) -one: 1 H NMR (300 MHz ., DMSO) d 2.43 (s, 3H), 3.13 (m, 8H), 3.43 (s, 2H), 6.47 (d, J = 7.5 Hz, 1 H), 6.78 (t, J = 7.2 Hz, 1 H ), 7.21 9m, 2H), 7.50 (d, J = 8.1 Hz, 2H), 7.67 (d, J = 7.8 Hz, 1 H), 7.97 (d, J = 8.4 Hz, 2H); 13 C NMR (75 MHz, DMSO) d 21.5, 42.6, 45.6, 46.2, 50.8, 51.9, 109.6, 116.4, 116.8, 1 17.7, 120.6, 121.1, 129.5, 129.6, 129.8, 130.1, 133.2, 146.8, 149.5, 156.1; ES MS (M + 1) 440.15; HRMS calculated for C23H25N3O5S, 439.53. Found (M + 1) 440.16. 1- (4'-Met.lbenzenesulfonyl) -3-hydroxy-4- [1,4'] B.p.per.d.n.l-1'-ilmet.lpir.din-2 (1H) -one: 1 H NMR (300 MHz, DMSO) d 1.43 (m, 1 h), 1.67 (m, 2 H), 1.82 (m, 4 H), 2.19 (m, 2 H), 2.44 (s, 3 H), 2.94 ( m, 4H), 3.39 (m, 2H), 3.54 (m, 3H), 4.06 (s, 2H), 6.47 (d, J = 8.1 Hz, 1 H), 7.51 (d, J = 8.1 Hz, 2H) , 7.73 (d, 7.8 Hz, 1 H), 7.99 (d, J = 8.4 Hz, 2H); 9F NMR (252 MHz, DMSO) d 88.7; 3 C NMR (75 MHz, DMSO) d 21.4, 22.9, 23.6, 48.4, 49.5, 59.4, 109.3, 114.8, 117.6, 120.5, 122.7, 129.7, 130.1, 133.1, 146.9, 148.6, 156.2; ES MS (M + 1) 446.19; HRMS calculated for C23H31N3O4S, 445.58. Found (M + 1) 446.21. 1- (4'-Methylbenzenesulfonyl) -3-hydroxy-4- [4- (6-chloropyridazin-3-yl) piperazin-1-methyl] pyridin-2 (1H ) -one: 1 H NMR (300 MHz, DMSO) d 2.44 (s, 3 H), 3.17 (m, 2 H), 3.46 (m, 4 H), 4.17 (s, 2 H), 4.45 (m, 2 H), 6.77 ( d, J = 7.8 Hz, 1 H), 7.04 (m, H), 7.53 (m 2H), 7.68 (m, 2H), 7.98 (m, 2H), 11.3 (width s, 1 H), ES EM ( M + 1) 476.92. HRMS calculated for C21 H25CIN5O4S, 475.95. Found (M + 1) 476.11.
Category V of prolyl hydroxylase HIF-1a inhibitors refers to compounds having the formula: R represents from 1 to 5 optional substitutions for hydrogen atom of the phenyl ring, R and R2 are each independently hydrogen or substituted or unsubstituted linear or branched C1-C10 alkyl, wherein the alkyl unit can be substituted by one or more independently chosen units of: i) linear Ci-C8 alkoxy, branched C3-C8, or C3-C8 cyclic; ii) hydroxy; iii) halogen iv) cyan v) amino, mono-alkylamino of CrC8, di-alkylamino of C-i-Cs vi) -SR40; R40 is hydrogen or linear C 1 -C 4 alkyl or branched C 3 -C 4 alkyl; ü) substituted or unsubstituted C6 or C10 aryl; viii) substituted or unsubstituted C1-C9 heterocyclic; or ix) substituted or unsubstituted C1-C9 heteroaryl.
Table V provides non-limiting examples of this category of HIF-1a prolyl hydroxylase inhibitors.
TABLE V eleven The compounds described in this category can be prepared by the process outlined hereinafter in scheme IV and described in example 4.
SCHEME IV 7 9 Reagents and conditions: (a) benzyl bromide, HCHO, H20 / EtOH, tr, 12hr.
EXAMPLE 4 1- (4'-Methylbenzenesulfonyl) -3-hydroxy-4-r (benzylamino) rnetin-pyridin-2 (1H) -one (9) 1- (4'-Methylbenzenesulfonyl) -3-hydroxy-4- (benzylaminomethyl) pyridin-2 (1H) -one (9): 1- (4-methylbenzenesulfonyl) -3-hydroxypyrdin-2 ( 1ry) -one (7) (250 mg, 0.94 mmol) and formaldehyde (200 mg, 2.07 mmol) were combined in aqueous ethanol (10 mL) and stirred for 30 minutes. Benzylamine (229 mg, 2.07 mmol) was then added and the reaction was stirred for 12 hours. The solvent was removed by evaporation and the residue was dissolved in methanol (5 mL) and purified by prep HPLC, eluting with water / acetonitrile to give the desired product as the trifluoroacetate salt. 1 H NMR (300 MHz, DMSO) d 2.44 (s, 3 H), 3.96 (s, 2 H), 4.16 (s, 2 H), 6.69 (d, J = 8.1 Hz), 7.40 (m, 7 H), 7.52 (m , 1 H), 7.73 (d, J = 8.1 Hz, 1 H), 7.97 (d, J = 8.1 Hz, 1 H), 9.71 (width s, 2 H), 10.44 (width s, 1 H); ES MS (M + 1) 396.67; HRMS calculated for C20H20N2O4S, 384.45. Found (M + 1) 385.12.
The following is an additional non-limiting example of this category of prolyl hydroxylase HIF-1a inhibitors. 1- (4'-Methylbenzenesulfonyl) -3-hydroxy-4 - [(2-methoxyethylamino) methyl] -pyridin-2 (1 H) -one: H NMR (300 MHz, DMSO) d 2.43 (s, 3H), 3.12 (m, 2H), 3.29 (s, 3H), 3.56 (t, J = 5.1 Hz, 2H), 3.99 (s, 2H), 6.51 (d, J = 7.5 Hz, 1 H), 7.51 (d, J = 8.4 Hz, 1 H), 7.76 (d, J = 7.5 Hz, 1 H), 7.98 (d, J = 8.1 Hz); 19 F NMR (252 MHz, DMSO) d 88.6; 13 C NMR (75 MHz, DMSO) d 21.5, 43.8, 46.2, 46.5, 58.5, 67.2, 106.7, 119.2, 120.2, 123.9, 128.4, 129.7, 130.1, 133.1, 146.8, 147.0, 156.0; ES MS (M + 1) 353.12. HRMS calculated for Ci6H2oN2O5S, 352.41. Found (M + 1) 353.1 1.
Category VI of HIF-1a prolyl hydroxylase inhibitors refers to compounds having the formula: wherein L is chosen from CH2 or SO2, and Z is substituted or unsubstituted phenyl. Non-limiting examples of inhibitors according to this category are described in Table VI below.
TABLE VI Compounds encompassed within this category can be prepared according to Scheme I for Z equal to CH 2 and in accordance with Scheme III for Z equal to SO 2.
Pharmaceutically acceptable salts The disclosed HIF-1a prolyl hydroxylase inhibitors may be in the form of a pharmaceutically acceptable salt. The pharmaceutically acceptable salts can be used by the formulator to provide a form of the described inhibitor that is more compatible with the intended delivery of the inhibitor to a subject or for formulation compatibility.
The following are examples of processes for preparing the pharmaceutically acceptable salt of the described inhibitor, -. { [1- (4-chlorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} tert-butyl piperazine-1-carboxylate.
A suspension of -. { [1- (4-chlorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} Tert-butyl piperazine-1-carboxylate (242 mg, 0.56 mmol) in MeOH (15 mL) was heated to reflux until a homogeneous solution was obtained. Heating was stopped and 0.1 N HCl (6.7 mL, 1.2 eq.) Was added while still hot and the solution was cooled to room temperature. The volatiles were evaporated under reduced pressure and the amorphous residue was recrystallized from acetone (5 mL). The solid was collected by filtration.
A suspension of -. { [1- (4-chlorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} Tert-butyl piperazine-1-carboxylate (217 mg, 0.5 mmol) in MeOH (15 mL) was heated to reflux until a homogeneous solution was obtained. Heating was stopped and methanesulfonic acid (115.2 mg, 1.2 eq.) Was added while still hot and the solution was cooled to 4 room temperature. The volatiles were evaporated under reduced pressure and the amorphous residue was recrystallized from acetone (5 mL). The solid was collected by filtration.
Table VII in the following provides examples of pharmaceutically acceptable salts of -. { [1- (4-chlorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} fer-butyl-piperazine-1-carboxylate formed from organic and inorganic acids. Start BOX VH * Analysis of CLAR 1 H NMR analysis was used to determine the shape of the salt, for example, that the mesylate salt formed above had the following formula: 1 H NMR analysis was used to determine at which site of the salt formation of the molecule was taking place. The chemical shifts for the protons in the methylene group bridging between the piperazine and the pyridinone rings shifted from 3.59 ppm in the free base to 4.31 ppm in the salt. In addition, the methylene piperazine groups adjacent to the tertiary amine were displaced from 2.50 ppm to approximately 3.60 ppm. The chemical shifts for the remaining protons were largely unchanged. These data indicate that the tertiary amine nitrogen of the piperazine ring is protonated in salt forms. In addition, the integration of the methyl protons of the sulfonyl unit of the methane in relation to the core compound indicates the presence of an equivalent of the acid.
The formulator can determine the solubility of the pharmaceutically acceptable salts of the described inhibitors by any desirable method. The following is a non-limiting example of a method for evaluating the solubility of a salt of a described inhibitor. A suspension of methanesulfonate of -. { [1- (4-chlorobenzyl) -3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl] methyl} -piperazine-1-carboxylic acid fer-butyl ester (26.6 mg) in distilled deionized water (3.0 mL) is sonicated for 20 min at a bath temperature of 25 ° C. The suspension is filtered to remove any insoluble salt. The clear filtered solution (200 μ?) Is diluted with distilled deionized water (800 μ?) And subjected to HPLC analysis. The following are results for the pharmaceutically acceptable salts outlined in Table VII above.
* Analysis of CLAR The following are non-limiting examples of other acids that can be used to form pharmaceutically acceptable salts of the described inhibitors: acetate, citrate, maleate, succinate, lactate, glycolate and tartrate.
Herein described is a process for preparing the disclosed HIF-1 to prolyl hydroxylase inhibitors, comprising: a) protecting the hydroxyl portion of hydroxypyridin-2 (1 / - /) -one to prepare a protected pyridone having the formula: wherein W represents a protecting group; b) reacting the protected pyridone with a compound having the formula: wherein R represents from 1 to 5 substitutions for hydrogen as defined herein, the subscript n is an integer from 0 to 5, Q is a residual group, to form an O-protected A / -benzyl pyridone or A / -sulfonylphenyl pyridone which has the formula: c) removing the protecting group of the O-protected / V-benzyl pyridone / V-sulfonylphenyl pyridone to form a / V-benzyl pyridone or / V-sulfonyl phenyl ridon having the formula: d) reacting an amine having the formula: wherein R1 and R2 are the same as defined herein, with formaldehyde to form a / V-formylamine having the formula: e) reacting the / V-formylamine formed in step (d) with the / V-benzyl pyridone or / V-sulfonylphenyl pyridone formed in step (c) to form a compound having the formula: Step (a) Preparation of an O-protected hydroxypyridin-2 (1H) -one Step (a) refers to the formation of an O-protected hydroxypyridin-2 (1H) -one having the formula: W can be any protective group. Non-limiting examples of protecting groups include carbamates, for example, fer-butoxycarbonyl and methoxycarbonyl, alkylsilanes, for example, trimethylsilyl and tert -am) /// 7-dimethylsilyl and the like.
Step (b) Preparation of A / -benzyl hydroxypyridin-2 (1 / - /) - O-protected ona or A / -sulfonylphenyl hydroxypyridin-2 (1H) -one O-proteqide Step (b) refers to the formation of an O-protected / V-benzyl hydroxypyridin-2 (1-) -one or / V-sulfonyl-phenyl-1-protected O-protected y-hydroxypyridin-2 (1H) -one having the formula The protected hydroxypyridine-2 (1 / -) -one formed in step (a) is reacted with a compound having the formula: wherein Q is a residual group capable of being removed by the ring nitrogen of the protected hydroxypyridin-2 (1 - /) -one.
Step (c) Preparation of / V-benzyl-3-hydroxypyridin-2 (1 / -) -one or? / - sulfonylphenyl-3-hydroxypyridin-2 (1H) -one Step (c) refers to the formation of an A / -benzyl-3-hydroxypyridin-2 (1H) -one or / V-sulfonylphenyl-3-hydroxypyridin-2 (1H) -one having the formula: wherein the N-benzyl hydroxypyridin-2 (1 -) -one O-protected or N-sulfonylphenyl hydroxypyridin-2 (1 / - /) -one O-protected form formed in step (b) is reacted with one or more reagents suitable for removing the protecting group W in a manner compatible with any R substitutions for hydrogen in the phenyl ring.
Step (d) Preparation of a N-formylamine syntone Step (d) relates to the formation of a N-formylamine syntone having the formula: The N-formylamine is formed by reacting an amine having the formula: with formaldehyde or a reactive capable of generating formaldehyde in situ.
Step (e) Preparation of the HIF-1 prolyl hydroxylase inhibitors described Step (e) refers to the formation of the final described compounds having the formula: Reacting the rV-formylamine formed in step (d) with the benzyl-3-hydroxypyridin-2 (1H) -one or A / -sulfonylphenyl-3-hydroxypyridin-2 (1 / - /) -one formed in step (c).
Formulations Medicines and pharmaceutical compositions The present disclosure further relates to compositions or formulations that are useful for making a medicament or a pharmaceutical composition. The medicaments or pharmaceutical compositions described comprising the described human protein prolyl hydroxylase HIF-1a inhibitors may comprise: a) an effective amount of one or more HIF-1a prolyl hydroxylase inhibitors according to the present disclosure; Y b) one or more excipients.
Diseases or conditions affected by increased stabilization of HIF-1 by inhibition of HIF-1a prolyl hydroxylase include PVD, CAD, heart failure, ischemia, anemia, wound healing, antimicrobial activity, increased phagocytosis, anti-cancer activity, and increase in effectiveness of vaccines.
For the purposes of the present description, the term "excipient" and "vehicle" are used interchangeably throughout the description of the present description and such terms are defined herein as, "ingredients that are used in the practice of formulating a safe and effective pharmaceutical composition ".
The formulator will understand that the excipients are used primarily to serve in the delivery of a safe, stable and functional pharmaceutical ration, serving not only as part of the general vehicle for delivery but also as a means to achieve effective absorption by the receptor of the active ingredient. An excipient may have a simple and direct filling function, since it is an inert filler, or an excipient as used herein may be part of a pH stabilizing system or coating to ensure supply of the ingredients safely to the stomach. The formulator can also take advantage of the fact that the compounds of the present disclosure have improved cellular potency, pharmacokinetic properties, as well as improved oral bioavailability.
Non-limiting examples of compositions in accordance with the present disclosure include: a) from about 0.001 mg to about 1000 mg of one or more inhibitors of HIF-1 to prolyl hydroxylase of human protein in accordance with the present disclosure; Y b) one or more excipients.
Another example in accordance with the present disclosure relates to the following compositions: a) from about 0.01 mg to about 100 mg of one or more HIF-1a prolyl hydroxylase inhibitors of human protein in accordance with the present disclosure; Y b) one or more excipients.
A further example of compliance with the present disclosure relates to the following compositions: a) from about 0.1 mg to about 10 mg of one or more HIF-1a prolyl hydroxylase inhibitors of human protein in accordance with the present disclosure; Y b) one or more excipients.
An additional example of compositions in accordance with the present disclosure comprises: a) an effective amount of one or more HIF-1a prolyl hydroxylase inhibitors of human protein in accordance with the present disclosure; Y b) one or more chemotherapeutic agents or chemotherapeutic compounds as described hereinafter.
An additional example of compositions in accordance with the present disclosure comprises: a) an effective amount of one or more HIF-1a prolyl hydroxylase inhibitors of human protein according to the present disclosure; Y b) one or more vaccines for the treatment of an infectious disease.
The present disclosure further relates to the use of one or more of the HIF-1 to prolyl hydroxylase inhibitors described herein to make a medicament for treating anemia.
The present disclosure further relates to the use of one or more of the HIF-1 to prolyl hydroxylase inhibitors described herein to make a medicament for treating increased cellular immunity.
The present disclosure further relates to the use of one or more of the HIF-1a prolyl hydroxylase inhibitors described herein to make a medicament for treating cancer.
The present disclosure further relates to the use of one or more of the HIF-1 to prolyl hydroxylase inhibitors described herein to make a medicament for increasing HIF-1 stabilization.
The present disclosure further relates to the use of one or more of the HIF-1 to prolyl hydroxylase inhibitors described herein to make a medicament for treating anemia.
The present disclosure further relates to the use of one or more of the HIF-1a prolyl hydroxylase inhibitors described herein to make a medicament for treating peripheral vascular disease.
The present disclosure further relates to the use of one or more of the HIF-1 to pro-yl hydroxylase inhibitors described herein to make a medicament for treating wounds.
The present disclosure also relates to the use of one or more of the HIF-1a proylyl hydroxylase inhibitors described herein to make a medicament that is an antimicrobial.
The present disclosure further relates to the use of one or more of the HIF-1cc proylyl hydroxylase inhibitors described herein to make a medicament for treating atherosclerotic lesions.
The present disclosure further relates to the use of one or more of the HIF-1a proylyl hydroxylase inhibitors described herein to make a medicament for treating diabetes.
The present disclosure further relates to the use of one or more of the HIF-1a proylyl hydroxylase inhibitors described herein to make a medicament for treating hypertension.
The present disclosure further relates to the use of one or more of the HIF-1a proylyl hydroxylase inhibitors described herein to make a medicament for treating a disease affected by the level of vascular endothelial growth factor (VEGF), glyceraldehyde 3-phosphate dehydrogenase. (GAPDH), and erythropoietin (EPO).
The present disclosure further relates to the use of one or more of the HIF-1 to proylyl hydroxylase inhibitors described herein to make a medicament for treating a selected disorder of Crohn's disease and ulcerative colitis, psoriasis, sarcoidosis, rheumatoid arthritis, hemangiomas, Osler-Weber-Rendu disease, or hereditary hemorrhagic telangiectasia, solid or blood tumors and acquired immunodeficiency syndrome.
The present disclosure further relates to the use of one or more of the HIF-1 prolyl hydroxylase inhibitors described herein to make a medicament for treating a selected disorder of diabetic retinopathy.; macular degeneration, cancer, sickle cell anemia, sarcoidosis, syphilis, elastic pseudoxanthoma, Paget's disease, vein occlusion, artery occlusion, carotid obstructive disease, uveitis / chronic vitritis, mycobacterial infections, Lyme disease, lupus erythematosus systemic, retinopathy of prematurity, Eales disease, Behcet's disease, infections that cause retinitis or choroiditis, supposed ocular histoplasmosis, Best's disease; myopia, optic pits, Stargardt's disease, pars planitis, chronic retinal detachment, hyperviscosity syndromes, toxoplasmosis, trauma and post laser complications, diseases associated with rubeosis and proliferative vitreoretinopathy.
The disclosed compositions and the form of pharmaceutical preparations comprising the HIF-1a prolyl hydroxylase inhibitors alone, or in combination with another drug, another therapeutic agent, inter alia, otherapeutic agent or otherapeutic compound, may vary in accordance with the route of administration. intended.
Orally administered preparations may be in form of solids, liquids, emulsions, suspensions or gels, or in unit dosage form, for example as tablets or capsules. The tablets can be combined with other ingredients used in a customary manner, such as talc, vegetable oils, polyols, gums, gelatin, starch and other vehicles. Inhibitors of HIF-1 to prolyl hydroxylase can be dispersed in or combined with an aqueous liquid vehicle in solutions, suspensions or emulsions.
Parenteral compositions designed for injection, either subcutaneously, intramuscularly or intravenously, can be prepared as liquid or solid forms for solution in liquid prior to injection, or as emulsions. Said preparations are sterile, and liquid to be injected intravenously must be isotonic. Suitable excipients are, for example, water, dextrose, saline and glycerol.
The administration of pharmaceutically acceptable salts of the substances described herein is included within the scope of the present disclosure. Said salts can be prepared from pharmaceutically acceptable non-toxic bases including organic bases and inorganic bases. Salts derived from inorganic bases include sodium, potassium, lithium, ammonium, calcium, magnesium and the like. Salts derived from pharmaceutically acceptable non-toxic organic bases include salts of primary, secondary and tertiary amines, basic amino acids and the like. For a useful discussion of pharmaceutical salts, see S.M. Berge et al., Journal of Pharmaceutical Sciences 66: 1-19 (1977) whose description is incorporated herein by reference.
Substances for injection can be prepared in unit dose form in ampoules, or in multi-dose containers. Inhibitors of HIF-1a prolyl hydroxylase or compositions comprising one or more HIF-1a prolyl hydroxylase inhibitors to be delivered may be present in forms such as suspensions, solutions or emulsions in oily or preferably aqueous vehicles. Alternatively, the salt of the HIF-1a prolyl hydroxylase inhibitor may be in lyophilized form for reconstitution, at the time of delivery, with a suitable vehicle, such as sterile pyrogen-free water. Both the liquid and lyophilized forms to be reconstituted will comprise agents, preferably pH regulators, in amounts necessary to adequately adjust the pH of the injected solution. For any parenteral use, particularly if the formulation is to be administered intravenously, the total concentration of solutes must be controlled to make the preparation isotonic, hypotonic, or weakly hypertonic. Nonionic materials, such as sugars, are preferred to adjust tonicity, and sucrose is particularly preferred. Any of these forms may further comprise suitable formulating agents, such as starch or sugar, glycerol or saline. The compositions per unit dose, either liquid or solid, may contain from 0.1% to 99% polynucleotide material.
Methods Methods related to stabilization of HIF-1 The eradication of invading microorganisms depends initially on innate immunological mechanisms that preexist in all individuals and act within minutes of infection. Types of phagocytic cells, including macrophages and neutrophils, play a key role in innate immunity because they can recognize, ingest and destroy many pathogens without the help of an adaptive immune response. The effectiveness of myeloid cells in innate defense reflects their ability to function in an environment with low oxygen content. While in healthy tissues the oxygen tension is generally 20-70 mm HG (ie 2.5-9% oxygen), much lower levels (<1% oxygen) have been described in wounds and foci of necrotic tissue (Arnoid et al., Br J Exp Pathol 68, 569 (1987), Vogelberg and Konig, Clin Investig 71, 466 (1993), Negus et al. , Am J Pathol 150, 1723 (1997)). It has also been shown (Zinkemagel AS et al., "Pharmacologic Augmentation of Hypoxia-inducible Factor-la with Mimosine Boosts the Bactericidal Capacity of Phagocytes" J Infectious Diseases (2008): 197: 214-217) that the HIF-1a agonist Mimosine can increase the ability of human phagocytes and whole blood to kill the primary pathogen Staphylococcus aureus in a dose-dependent manner and reduce the size of the lesion in a murine model of skin infection by S. aureus.
Macrophages are a population of effector cells involved in immunological responses. Its role in natural immunity includes mediation of phagocytosis, as well as the release of cytokines and cytotoxic mediators. They also facilitate the development of acquired immunity through the presentation of antigen and the release of immunomodulatory cytokines. Although macrophages are immune effectors, they are also susceptible to infection by agents such as bacteria, protozoa, parasites and viruses (The Macrophage, CE Lewis &J. O'D. McGee, eds., IRL Press at Oxford University Press, New York, NY, 1992). Viruses capable of infecting macrophages include several RNA viruses such as measles virus (MV) (e.g., Joseph et al., J. Virol. 16, 1638-1649, 1975), respiratory syncytial virus (RSV). (Midulla et al., Am. Rev. Respir Dis. 140, 771-777, 1989), and human immunodeficiency virus type 1 (HIV-1) (Meltzer and Gendelman, in Macrophage Biology and Activation, SW Russell and S Gordon, eds., Springer-Verlag, New York, NY, pp. 239-263 (1992: Potts er a /., Virology 175, 465-476, 1990).
Herein is disclosed a method for increasing the stabilization of HIF-1 in a cell, which comprises contacting a cell in vivo, in vitro or ex vivo with an effective amount of one or more of the HIF-1 inhibitors a prolyl hydroxylase described.
Also described herein are methods for increasing the cellular immune response of a human or mammal in need of increased cellular immunity, which comprises administering to a human or mammal in need thereof an effective amount of one or more of the HIF-1 prolyl hydroxylase inhibitors described.
Also described herein are methods for increasing the cellular immune response of a human or mammal diagnosed with a medical condition that causes decreased cellular immunity, which comprises administering to a human or mammal in need thereof an effective amount of one or more of the HIF-1a prolyl hydroxylase inhibitors described.
Herein are further described methods for increasing the cellular immune response of a human or mammal diagnosed with a medical condition causing decreased cellular immunity, comprising administering to a human or mammal in need thereof an effective amount of one or more of the HIF-1a prolyl hydroxylase inhibitors described.
Herein still further described are methods for increasing the cellular immune response of a human or mammal diagnosed with a medical condition causing decreased cellular immunity, comprising administering to a human or mammal in need thereof an effective amount of one or more of the HIF-1a prolyl hydroxylase inhibitors described.
As such, the one or more inhibitors of HIF-1a prolyl hydroxylase and any co-administered compounds can be administered or contacted with a cell by topical, buccal, oral, intradermal, subcutaneous, mucosal in the eyes, vagina, rectum and nose, intravenous and intramuscular Methods related to cancer treatment As used herein, cancer is defined herein as "an abnormal growth of cells that tend to proliferate in an uncontrolled manner and, in some cases, to metastasize". As such, both metastatic and non-metastatic cancers can be treated by the described methods.
Methods for treating cancer in a human or mammal are described, which comprise administering to a human or mammal suffering from cancer an effective amount of one or more of the described HIF-1a prolyl hydroxylase inhibitors.
Also disclosed herein are methods for treating a human or mammal diagnosed with cancer, co-administering to a human or mammal one or more chemotherapeutic agents or chemotherapeutic compounds together with one or more of the described HIF-1a prolyl hydroxylase inhibitors.
The following are non-limiting examples of malignant and non-malignant cancers.
Acute lymphoblastic leukemia; acute myeloid; adrenocortical carcinoma; Adrenocortical carcinoma, in children; appendix cancer; basal cell carcinoma; bile duct cancer, extrahepatic; bladder cancer; bone cancer; Osteosarcoma and malignant fibrous histocytoma; brain stem glioma, in children; brain tumor, in adults; brain tumor, brain stem glioma, in children; brain tumor, tumor teratoid / atypical rhabdoid of the central nervous system, in children; embryonal tumors of the central nervous system; cerebellar astrocytoma; cerebellar astrocytoma / malignant glioma; Craniopharyngioma; ependymoblastoma; Ependymoma; medulloblastoma; medulloepithelioma; pineal parenchymal tumors of intermediate differentiation; supratentorial primitive neuroectodermal tumors and pineoblastoma; visual and hypothalamic glioma; brain and spinal cord tumors; breast cancer; bronchial tumors; Burkitt's lymphoma; carcinoid tumor; carcinoid, gastrointestinal tumor; atypiatic teratoid / rhabdoid tumor of the central nervous system; embryonal tumors of the central nervous system; lymphoma of the central nervous system; cerebellar astrocytoma; cerebellar astrocytoma / malignant glioma, in children; cervical cancer; chordoma, in children; Chronic lymphocytic leukemia; chronic myelogenous leukemia; chronic myeloproliferative disorders; colon cancer; Colorectal cancer; craniopharyngioma; cutaneous T-cell lymphoma; esophageal cancer; family of Ewing tumors; extragonadal germ cell tumor; extrahepatic bile duct cancer; eye cancer, infraocular melanoma; eye cancer, retinoblastoma; gallbladder cancer; gastric cancer (stomach); Gastrointestinal carcinoid tumor; gastrointestinal stromal tumor (GIST); germ cell tumor, extracranial; extragonadal germ cell tumor; germ cell tumor, ovary; gestational trophoblastic tumor; glioma; glioma, brainstem in children; glioma, cerebral astrocytoma in children; glioma, visual and hypothalamic pathway in children; hairy cell leukemia; Head and neck cancer; hepatocellular cancer (liver); histocytosis, Langerhans cells; Hodgkin's lymphoma; hypopharyngeal cancer; hypothalamic glioma and visual pathway; intraocular melanoma; islet cell tumors; kidney cancer (kidney cells); histocytosis of Langerhans cells; laryngeal cancer; Acute lymphoblastic leukemia; AML; leukemia, chronic lymphocytic leukemia; leukemia, chronic myelogenous; leukemia, hair cells; cancer of the lip and oral cavity; Liver cancer; lung cancer, non-small cells; lung cancer, small cells; lymphoma, related to AIDS; LYMPHOMA, Burkitt; lymphoma, cutaneous T cells; lymphoma, from Hodgkin; lymphoma, not Hodgkin; lymphoma, primary central nervous system; macroglobulinemia, Waldenstrom; malignant fibrous histocytoma of bone and osteosarcoma; medulloblastoma; melanoma; melanoma, intraocular (eyes); Merkel cell carcinoma; mesothelioma; metastatic squamous head and neck cancer with occult primary; mouth cancer; multiple endocrine neoplasia syndrome, (in children); multiple myeloma / plasma cell neoplasm; mycosis fungoides; myelodysplastic syndromes; myelodysplastic / myeloproliferative diseases; myelogenous, chronic leukemia; myeloid leukemia, acute in adults; myeloid leukemia, acute in children; multiple myeloma; chronic myeloproliferative disorders; cancer of the nasal cavity and paranasal sinuses; nasopharyngeal cancer; neuroblastoma; non-small cell lung cancer; oral cancer; oral cavity cancer; Oropharyngeal cancer; Osteosarcoma and malignant fibrous histocytoma of bone; ovarian cancer; epithelial ovarian cancer; ovarian germ cell tumor; malignant potential low ovarian tumor; pancreatic cancer; pancreatic cancer, islet cell tumors; papillomatosis; parathyroid cancer; penile cancer; pharyngeal cancer; pheochromocytoma; pineal parenchymal tumors of intermediate differentiation; pineoblastoma and supratentorial primitive neuroectodermal tumors; pituitary tumor; plasma cell neoplasm / multiple myeloma; pleuropulmonary blastoma; lymphoma of the primary central nervous system; prostate cancer; rectal cancer; renal cell cancer (kidney); renal pelvis and ureter, transitional cell cancer; carcinoma of the respiratory tract involving the NUT gene on chromosome 15; retinoblastoma; rhabdomyosarcoma; salivary gland cancer; sarcoma, family of Ewing tumors; Sarcoma, Kaposi; sarcoma, soft tissue; sarcoma, uterine; Sézary syndrome; skin cancer (non-melanoma); skin cancer (melanoma); carcinoma of the skin, Merkel cell; small cell lung cancer; small bowel cancer; soft tissue sarcoma; Squamous cell carcinoma, squamous neck cancer with occult, metastatic primary; stomach cancer (gastric); primitive supratentorial neuroectodermal tumors; T-cell lymphoma, cutaneous; Testicular cancer; throat cancer; thymoma and thymic carcinoma; thyroid cancer; cancer of transitional cells of the renal pelvis and ureters; trophoblastic, gestational tumor; urethral cancer; uterine, endometrial cancer; uterine sarcoma; vaginal cancer; vulvar cancer; Waldenstrom macroglobulinemia; and Willms tumor.
In addition, methods to treat cancer in a human are described 4 or mammal, comprising co-administering to a human or mammal, together with one or more chemotherapeutic agents or chemotherapeutic compounds, one or more of the described HIF-1a prolyl hydroxylase inhibitors.
Also described herein are methods for treating a human or mammal diagnosed with cancer, co-administering to a human or mammal, together with one or more chemotherapeutic agents or chemotherapeutic compound, one or more of the described HIF-1a prolyl hydroxylase inhibitors.
A "chemotherapeutic agent" or "chemotherapeutic compound" is a chemical compound useful in the treatment of cancer. Chemotherapeutic agents for cancer that can be used in combination with the HIF-1a inhibitors described include, but are not limited to, mitotic inhibitors (vinca alkaloids). These include vincristine, vinblastine, vindesine and Navelbine ™ (vinorelbine, 5'-noranhydroblastine). In other additional embodiments, chemotherapeutic agents for cancer include topoisomerase I inhibitors, such as camptothecin compounds. As used herein, "camptothecin compounds" include Camptosar ™ (irinotecan HCI), Hycamtin ™ (topotecan HCI) and other compounds derived from camptothecin and its analogues. Another category of chemotherapeutic agents for cancer that can be used in the methods and compositions described herein are podophyllotoxin derivatives, such as etoposide, teniposide and mitopodozide. The present disclosure also encompasses other cancer chemotherapeutic agents known as alkylating agents, which alkylate the genetic material in tumor cells. These include, without limitation, cisplatin, cyclophosphamide, nitrogen mustard, trimethylenethiophosphoramide, carmustine, busulfan, chlorambucil, belustine, uracil mustard, clomafazin and dacarbazine. The description encompasses antimetabolites as chemotherapeutic agents. Examples of these types of agents include cytosine arabinoside, fluorouracil, methotrexate, mercaptopurine, azathioprime and procarbazine. An additional category of chemotherapeutic agents for cancer that can be used in the methods and compositions described herein include antibiotics. Examples include without limitation doxorubicin, bleomycin, dactinomycin, daunorubicin, mitramycin, mitomycin, mitomycin C and daunomycin. There are numerous commercially available liposomal formulations for these compounds. The present disclosure also encompasses other cancer chemotherapeutic agents including without limitation anti-tumor antibodies, dacarbazine, azacitidine, amsacrine, melphalan, phosphamide and mitoxantrone.
The HIF-1a prolyl hydroxylase inhibitors described herein can be administered in combination with other anti-tumor agents, including cytotoxic / antineoplastic agents and anti-angiogenic agents. Cytotoxic / antineoplastic agents are defined as agents that attack and kill cancer cells. Some cytotoxic / antineoplastic agents are alkylating agents, which alkylate the genetic material in tumor cells, eg, cis-platin, cyclophosphamide, nitrogen mustard, trimethylenethiophosphoramide, carmustine, busulfan, chlorambucil, belustine, uracil mustard, clomafazin and dacarbazine. Other cytotoxic / antineoplastic agents are antimetabolites for tumor cells, e.g., cytosine arabinoside, fluorouracil, methotrexate, mercaptopurine, azathioprime and procarbazine. Other cytotoxic / antineoplastic agents are antibiotics, e.g., doxorubicin, bleomycin, dactinomycin, daunorubicin, mitramycin, mitomycin, mtomycin C and daunomycin. There are numerous commercially available liposomal formulations for these compounds. Other cytotoxic / antineoplastic agents are more mitotic inhibitors (vinca alkaloids). These include vincristine, vinblastine and etoposide. Various cytotoxic / antineoplastic agents include taxol and its derivatives, L-asparaginase, anti-tumor antibody, dacarbazine, azacitidine, amsacrine, melphalan, VM-26, ifosfamide, mitoxantrone and vindesine.
Anti-angiogenic agents are well known to those skilled in the art. Anti-angiogenic agents suitable for use in the disclosed methods and compositions include anti-VEGF antibodies, including humanized and chimeric antibodies, anti-VEGF aptamers and antisense oligonucleotides. Other known inhibitors of angiogenesis include angiostatin, endostatin, interferons, interleukin 1 (including α and β), interleukin 12, retinoic acid, and inhibitors of metalloproteinase-1 and -2 tissue (TIMP-1 and -2). Small molecules, including topoisomerases such as razoxane, a topoisomerase II inhibitor with anti-angiogenic activity, can also be used.
Other anti-cancer agents that can be used in combination with the HIF-1a inhibitors described include, but are not limited to: acivicin; aclarubicin; benzoyl hydrochloride; Acronine; adozelesin; aldesleukin; altretamine; ambomycin; ametantrone acetate; aminoglutethimide; amsacrine; anastrozole; anthramycin; asparaginase; asperlin; azacitidine; azetepa; azotomycin; batimastat; benzodepa; bicalutamide; bisantrene hydrochloride; bisnafide dimesylate; bizelesin; bleomycin sulfate; Sodium brequinar; biririmine; busulfan; cactinomycin; calusterona; caracemide; carbetimer; carboplatin; carmustine; carubicin hydrochloride; carzelesin; cedefingol; chlorambucil; Corylemycin; cisplatin; cladribine; crisnatol mesylate; cyclophosphamide; cytarabine; Dacarbazine; Dactinomycin; daunorubicin hydrochloride; decitabine; dexormaplatin; dezaguanine; dezaguanine mesylate; diaziquone; docetaxel; doxorubicin; Doxorubicin hydrochloride; droloxifene; Droloxifene citrate; dromostanolone propionate; duazomycin; edatrexate; eflornithine hydrochloride; elsamitrucin; enloplatin; enpromato; epipropidine; epirubicin hydrochloride; erbulozole; esorubicin hydrochloride; estramustine; sodium estramustine phosphate; etanidazole; etoposide; etoposide phosphate; etoprine; fadrozole hydrochloride; fazarabine; fenretinide; floxuridine; fludarabine phosphate; fluorouracil; flurocitabine; fosquidone; sodium fostriecin; gemcitabine; gemcitabine hydrochloride; hydroxyurea; idarubicin hydrochloride; ifosfamide; ilmofosin; interleukin II (including recombinant interleukin II, or rlL2), interferon alfa-2a; interferon alfa-2b; interferon alfa-n1; interferon alfa-n3; Interferon beta-I a; Interferon gamma-l b; iproplatin; Rinotecan hydrochloride; lanreotide acetate; letrozole; leuprolide acetate; liarozole hydrochloride; lometrexol sodium; lomustine; losoxantrone hydrochloride; masoprocol; maitansine; mechlorethamine hydrochloride; Megestrol acetate; melengestrol acetate; melphalan; menogaril; mercaptopurine; methotrexate; sodium methotrexate; metoprine; meturedepa; mitinomide; mitocarcin; mitochromin; mitogilin; mitomalcin; mitomycin; mitosper; mitotane; mitoxantrone hydrochloride; mycophenolic acid; nocodazole; nogalamycin; ormaplatin; oxisuran; paclitaxel; pegaspargasa; Peliomycin; pentamustine; peplomycin sulfate; perfosfamide; pipobroman; piposulfan; piroxantrone hydrochloride; plicamycin; plomestane; sodium porfimer; porphyromycin; prednimustine; procarbazine hydrochloride; puromycin; puromycin hydrochloride; pyrazofurin; riboprine; rogletimide; safingol; safingol hydrochloride; semustine; simtrazeno; sodium esparfosate; Esparsomycin; Spirogermanium hydrochloride; spiromustine; Spiroplatin; streptonigrin; streptozocin; sulofenur; talisomycin; tecogalan sodium; tegafur; teloxantrone hydrochloride; temoporfin; teniposide; Teroxirone; testolactone; tiamiprine; thioguanine; thiotepa; thiazofurin; tirapazamine; Toremifene citrate; trestolonae acetate; triciribine phosphate; trimetrexate; trimetrexate glucuronate; triptorelin; tubulozole hydrochloride; uracil mustard; uredepa; vapreotide; verteporfin; vinblastine sulfate; vincristine sulfate; vindesine; vindesine sulfate; vinepidine sulfate; vinglicinate sulfate; vinleurosine sulfate; vinorelbine tartrate; vinrosidine sulfate; vinzolidine sulfate; vorozole; zeniplatin; zinostatin; Zorubicin hydrochloride. Other anti-cancer drugs include, but are not limited to: 20-epi-1, 25 dihydroxyvitamin D3; 5-ethynyluracil; abiraterone; aclarubicin; acilfulveno; adecipenol; adozelesin; aldesleukin; ALL-TK antagonists; altretamine; ambamustine; amidox; amifostine; aminolevulinic acid; amrubicin; amsacrine; anagrelide; anastrozole; andrographolide; inhibitors of angiogenesis; antagonist D; antagonist G; antarelix; anti-dorsalizing morphogenetic protein-1; antiandrogen, prostatic carcinoma; antiestrogen; antineoplaston; antisense oligonucleotides; affinicolin glycinate; apoptosis gene modulators; apoptosis regulators; Apurinic acid; ara-CDP-DL-PTBA; arginine deaminase; asulacrine; atamestane; atrimustine; axinastatin 1; axinastatin 2; axinastatin 3; azasetron; azatoxin; azathirosine; Bacatin III derivatives; balanol batimastat; BCR / ABL antagonists; benzocloros; benzoylstaurosporine; beta lactam derivatives; beta-aletine; betaclamycin B; betulinic acid; bFGF inhibitor; bicalutamide; bisantrene; bisaziridinylpermine; bisnafide; bistratene A; bizelesin; breflate; biririmine; budotitan; butionine sulfoximine; calcipotriol; Calfostin C; camptothecin derivatives; IL-2 of canaries pox; capecitabine; carboxamide-amino-triazole; carboxyamidotriazole; CaRest M3; CARN 700; inhibitor derived from cartilage; carzelesin; casein kinase inhibitors (ICOS); castanospermine; cecropin B; cetrorelix; chlorlns; chloroquinoxaline sulfonamide; cicaprost; cis-porphyrin; cladribine; clomiphene analogues; clotrimazole; colismicin A; colismicin B; combretastatin A4; combretastatin analogue; conagenina; crambescidin 816; crisnatol; cryptophycin 8; Cryptophycin A derivatives; Cure A; cyclopentanthraquinones; Cycloplatama; cipemycin; cyclorabine ocphosphate; cytolytic factor; cytostatin; dacliximab; decitabine; dehydrodidemnin B; deslorelin; dexamethasone; dexiphosphamide; dexrazoxane; dexverapamil; diaziquone; didemnin B; didox; diethylnospermine; dihydro-5-azacytidine; dihydrotaxol, 9-; dioxamycin; Spiromustine diphenyl; docetaxel; docosanol; dolasetron; doxifluridine; droloxifene; dronabinol; duocarmicin SA; ebselen; ecomustine; edelfosine; Edrecolomab; eflornitine; elemeno; emitefur; epirubicin; epristeride; estramustine analogue; estrogen agonists; estrogen antagonists; etanidazole; etoposide phosphate; exemestane; fadrozole; fazarabine; fenretinide; filgrastim; finasteride; flavopiridol; flezelastine; fluasterone; fludarabine; fluorodaunorunicin hydrochloride; forfenimex; formestane; fostriecin; fotemustine; gadolinium texafirin; gallium nitrate; galocitabine; ganirelix; gelatinase inhibitors; gemcitabine; glutathione inhibitors; hepsulfám; heregulin; hexamethylene bisacetamide; hypericin; ibandronic acid; idarubicin; idoxifen; idramantone; ilmofosin; ilomastat; imidazoacridones; imiquimod; immunostimulatory peptides; Insulin-like growth factor-1 receptor inhibitor; interferon agonists; interferons; interleukins; iobenguan; iododoxorubicin; ipomeanol, 4-; iroplact; irsogladine; isobengazol; isohomohalicondrin B; itasetron; jasplakinolide; kahalalide F; lamelarin-N triacetate; lanreotide; leinamycin; lenograstim; lentinan sulfate; leptolstatin; letrozole; Leukemia inhibitory factor; alpha leukocyte interferon; leuprolide + estrogen + progesterone; leuprorelin; levamisole; liarozole; linear polyamine analogue; lipophilic disaccharide peptide; lipophilic platinum compounds; lisoclinamide 7; lobaplatin; lombricine; lometrexol; lonidamine; losoxantrone; lovastatin; loxoribine; lurtotecan; lutecio texafirin; lyophilin; UTIC peptides; maitansine; Handstatin A; marimastat; masoprocol; maspin; Matrilisin inhibitors; matrix metalloproteinase inhibitors; menogaril; merbarone; meterelin; methioninase; metoclopramide; MIF inhibitor; mifepristone; miltefosine; mirimostim; Discordant double-stranded RNA; mitoguazone; mitolactol; mitomycin analogues; mitonafide; mitotoxin fibroblast-saporin growth factor; mitoxantrone; mofarotene; molgramostim; monoclonal antibody, human chorionic gonadotropin; monophosphoryl lipid A + myobacterial cell wall sk; mopidamol; inhibitor of multiple drug resistance gene; therapy based on suppressor-1 of multiple tumors; anticancer agent of mustard; micaperoxide B; mycobacterial cell wall extract; myriaporone; N-acetyldinaline; N-substituted benzamides; nafarelin; nagrestip; naloxone + pentazocine; napavin; nafterpin; nartograstim; nedaplatin; nemorubicin; neridronic acid; neutral endopeptidase; nilutamide; nisamycin; Nitric oxide modulators; nitroxide antioxidant; nitrulin; O6-benzylguanine; octreotide; okicenona; oligonucleotides; onapristone; ondansetrone; ondansetrone; prayer; oral cytokine inducer; ormaplatin; osaterone; oxaliplatin; oxaunomycin; paclitaxel; Paclitaxel analogues; paclitaxel derivatives; palauamine; palmitoylrizoxin; pamidronic acid; panaxitriol; panomifén; parabactin; pazeliptine; pegaspargasa; peldesine; sodium pentosan polysulfate; pentostatin; pentrozole; perflubron; perfosfamide; perilyl alcohol; phenazinomycin; phenylacetate; phosphatase inhibitors; picibanil; Pilocarpine hydrochloride; pirarubicin; piritrexim; placetin A; placetin B; plasminogen activator inhibitor; platinum complex; platinum compounds; platinum-triamine complex; sodium porfimer; porphyromycin; prednisone; propyl bis-acridone; prostaglandin J2; proteasome inhibitors; immunomodulator based on protein A; protein kinase C inhibitor; inhibitors of protein kinase C, microalgal; protein tyrosine phosphatase inhibitors; purine nucleoside phosphorylase inhibitors; purpurins; pyrazoloacridine; conjugate of pyridoxylated hemoglobin-polyoxyethylene; Raf antagonists; raltitrexed; ramosetron; Rhamnesyl protein transferase inhibitors; ras inhibitors; ras-GAP inhibitor; Demethylated reteliptine; rhenium etidronate Re 186; rizoxin; ribozymes; Retinalized Rll; rogletimide; rohitukine; romurtide; roquinimex; Rubiginone B1; ruboxil; safingol; saintopine; SarCNU; sarcophitol A; sargramostim; Sdi 1 mimetics; semustine; inhibitor derived from senescence 1; sense oligonucleotides; inhibitors of signal transduction; signal transduction modulators; single chain antigen binding protein; sizofiran; Sobuzoxane; sodium borocaptate; sodium phenylacetate; solverol; protein binding to somatomedin; sonermin; Esparfosic acid; Spicamycin D; spiromustine; splenopentin; spongistatin 1; squalamine; stem cell inhibitor; inhibitors of stem cell division; stihadid; stromelysin inhibitors; Sulfinosine; superactive vasoactive intestinal peptide antagonist; suradista suramin; Swainsonin; synthetic glycosaminoglycans; talimustine; tamoxifen metiodide; tauromustine; tazarotene; tecogalan sodium; tegafur; telurapyrilio; telomerase inhibitors; temoporfin; temozolomide; teniposide; tetrachlorodecaoxide; tetrazomine; taliblastine; thiocoraline; thrombopoietin; thrombopoietin mimetic; timalfasin; thymopoietin receptor aonist; thymotrinan; thyroid stimulating hormone; ethyl tin etiopurpurine; tirapazamine; titanocene bichloride; topsentin; toremifén; factor of totipotent stem cells; Translation inhibitors; tretinoin; triacetyluridine; triciribine; trimetrexate; triptorelin; tropisetron; turosteride; tyrosine kinase inhibitors; Tyrphostins; UBC inhibitors; ubenimex; growth inhibitory factor derived from urogenital sinuses; Urokinase receptor antagonists; vapreotide; variolin B; vector system, erythrocyte therapy; velaresol; veramina; verdinas; verteporfin; vinorelbine; vinxaltine; vitaxin; vorozole; zanoterone; zeniplatin; zilascorb; and zinostatina estimalamer. In one embodiment, the anti-cancer drug is 5-fluorouracil, taxol or leucovorin.
Methods related to the treatment of conditions that involve microorganisms A method for prophylactically treating a human or a mammal against infection by a microorganism, comprising administering to a human or mammal an effective amount of one or more of the described HIF-1a prolyl hydroxylase inhibitors, is disclosed.
In addition, a method is described to decrease the virulence of a microorganism when a human or a mammal is infected with a microorganism, which comprises administering to a human or mammal an effective amount of one or more of the described HIF-1a prolyl hydroxylase inhibitors.
Furthermore, a method for treating an infection in a human or mammal caused by a microorganism is described, which comprises administering to a human or mammal an effective amount of one or more of the described HIF-1a prolyl hydroxylase inhibitors.
In addition, a method for treating a human or mammal diagnosed with an infection caused by a microorganism is described, which comprises administering to a human or mammal an effective amount of one or more of the described HIF-1a prolyl hydroxylase inhibitors.
Also disclosed is a method for preventing the transmission of a disease caused by a microorganism from a human or mammal to a human or mammal, which comprises administering to a human or mammal an effective amount of one or more of the HIF-1 prolyl inhibitors. hydroxylase described.
In addition, a method for preventing infection of a human or a mammal during a surgical procedure is described, which comprises administering to a human or mammal an effective amount of one or more of the described HIF-1a prolyl hydroxylase inhibitors.
The microorganism can be any benign or virulent microorganism, for example, bacteria, viruses, yeasts, fungi or parasites. The following are non-limiting examples of microorganisms that may be affected by the described HIF-1a prolyl hydroxylase inhibitors. By the term "affected" is meant, the virulence of the microorganism is reduced, diminished or eliminated. The cause of the reduction, decrease or elimination of virulence can be from the stabilization of HIF-1 and / or the increased level of phagocytosis due to the administration of one or more of the inhibitors of HIF-1 to prolyl hydroxylase described .
Acinetobacter calcoaceticus, Acinetobacter haemoJyticus, Aeromonas hydrophilia, Agrobacierium tumefaciens, Bacillus anthracis, Bacillus halodurans, Bacillus subtilis, Bacteroides distasonis, Bacteroides eggerthii, Bacteroides fragilis, Bacteroides ovalus, Bacteroides 3452A homology group, Bacteroides splanchnicus, Bacteroides thetaiotaomicron, Bacteroides uniformis, Bacteroides vulgatus, Bordetella bronchiseptica, Bordetella parapertussis, Bordetella pertussis, Borrelia burgdoríeri, Branhamella catarrhalis, Brucella melitensis, Burkholderia cepacia, Burkholderia pseudomallei, Campylobacter coli, Campylobacteríetus, Campylobacter jejuni, Caulobacter crescentus, Citrobacter freundii, Clostridium difficile, Clostridium perftingens, Corynebacterium diphtheriae, Corynebacterium glutamicum, Corinebacterium ulcerans, Edwardsiella tarda, Enterobacter aerogenes, Erwinia chrysanthemi, Enterobacter cloacae, Enterococcus faecalis, Enterococcus faecium, Escherichia coli, Francisella tularensis, Gardnerella vaginalis, Haemophilus ducreyi, Haemophilus haemolyticus, Haemophilus influenzae, Haemophilus parahaemolyticus, Haemophilus parainfluenzae, Helicobacter pylori, Klebsiella oxytoca, Klebsiella pneumoniae, Kluyvera cryocrescens, Legionella pneumophila, Listeria innocua, Listeria monocytogenes, Listeria welshimeri, Methanosarcina acetivorans, Methanosarcina mazei, Morganella morganii, Mycobacterium avium, Mycobacterium intracellulare, Mycobacterium leprae, Mycobacterium tuberculosis, Mesorhizobium loti, Neisseria gonorrhoeae, Neisseria meningitidis, Pasteurella haemolytica, Pasteurella multocida, Providencia alcalifaciens, Providencia rettgeri, Providencia stuartii, Proteus mirabilis, Proteus vulgaris, Pseudomonas acidovorans, Pseudomonas aeruginosa, Pseudomonas alcaligenes, Pseudomonasfluorescens, Pseudomonas putida, Ralstonia solanacearum, Salmonella enterica subsp. enteridtidis, Salmonella enterica subsp. paratyphi, enteric Salmonella, subsp. typhimurium, enteric Salmonella, subsp. typhi, Serratia marcescens, Shigella dysenteriae, Shigella flexneri, Shigella sonnei, Sinorhizobium meliloti, Staphylococcus aureus, Streptococcus criceti, Staphylococcus epidemmidis, Staphylococcus haemolyticus, Staphylococcus hominis, Staphylococcus hyicus, Staphylococcus intermedius, Stenotrophomonas maltophilia, Staphylococcus saccharolyticus, Staphylococcus saprophyticus, Staphylococcus sciuri, Streptomyces avermitilis, Streptomyces coelicolor, Streptococcus agalactiae, Streptococcus pneumoniae, Streptococcus pyogenes Sulfobalblobus soffiataricus, Maritime Thermotoga, Vibrio cholerae, Vibrio parahaemolyticus, Vogesella indigofera, Xanthomonas axonopodis, Xanthomonas campestris, Yersinia enterocolitica, Yersinia intermedia, Yersinia pestis and Yersinia pseudotuberculosis Methods Related to Vaccination or Innoculation Methods for increasing the effectiveness of a vaccine are described, which comprise co-administering to a human or mammal a vaccine in combination with one or more HIF-1a prolyl hydroxylase inhibitors.
Non-limiting examples of vaccines are those for stimulating antibodies against hepatitis, influenza, measles, rubella, tetanus, polio, rabies and the like.
Therefore, the described methods include administering, or in the case of contacting cells in vitro, in vivo or ex vivo, the one or more inhibitors of HIF-1a prolyl hydroxylase and any compounds coadministered topically, buccally, orally. , intradermal, subcutaneous, mucosal in the eyes, vagina, rectum and nose, intravenous and intramuscular.
The following are non-limiting examples of methods in accordance with the present disclosure.
A method for increasing the stabilization of HFI-1 in a cell, comprising contacting a cell in vivo, in vitro or ex vivo with an effective amount of one or more of the described HIF-1a prolyl hydroxylase inhibitors.
A method for increasing the cellular immune response of a subject in need of increased cellular immunity, which comprises administering to a subject in need thereof an effective amount of one or more of the described HIF-1a prolyl hydroxylase inhibitors.
A method for increasing the cellular immune response of a subject diagnosed with a medical condition causing decreased cellular immunity, comprising administering to a subject in need thereof an effective amount of one or more of the described HIF-1 prolyl hydroxylase inhibitors.
A method for increasing the cellular immune response of a subject diagnosed with a medical condition causing decreased cellular immunity, comprising administering to the subject an effective amount of one or more of the described HIF-1a inhibitors.
A method for increasing the cellular immune response of a subject having a medical condition causing decreased cellular immunity, said method comprising administering to the subject in need thereof an effective amount of one or more of the described HIF-1ct inhibitors.
A method for treating cancer in a subject, comprising administering to the subject having cancer an effective amount of one or more of the HIF-1a inhibitors described.
A method for treating a subject diagnosed with cancer by stabilizing the level of cellular HIF-1 thereby increasing the immune response in the subject, which comprises administering to the subject diagnosed with cancer an effective amount of one or more HIF-1 a inhibitors.
A method for treating a subject diagnosed with cancer by stabilizing the HIF-1 cellular level thereby increasing the immune response in the subject, which comprises administering to the subject diagnosed with cancer an effective amount of a composition comprising one or more chemotherapeutic agents or chemotherapeutic compounds and one or more inhibitors of HIF-1a prolyl hydroxylase.
A method for treating cancer in a subject by stabilizing the HIF-1 cellular level thereby increasing the immune response in the subject, which comprises administering to the subject with cancer an effective amount of one or more HIF-1 a inhibitors.
A method for treating cancer in a subject by stabilizing the HIF-1 cellular level thereby increasing the immune response in the subject, said method comprising administering to the subject an effective amount of a composition comprising one or more chemotherapeutic agents or chemotherapeutic compounds and one or more inhibitors of HIF-1 to prolyl hydroxylase.
A method for treating a subject diagnosed with cancer, comprising administering to the subject diagnosed with cancer an effective amount of one or more HIF-1 a inhibitors a.
A method for treating a subject diagnosed with cancer, comprising administering to the subject diagnosed with cancer an effective amount of a composition comprising one or more chemotherapeutic agents or chemotherapeutic compounds and one or more inhibitors of HIF-1a prolyl hydroxylase.
A method for treating a subject diagnosed with cancer by co-administering to the subject one or more chemotherapeutic agents or chemotherapeutic compounds and one or more of the described HIF-1 to prolyl hydroxylase inhibitors.
A method for treating a subject having cancer by co-administering to the subject one or more chemotherapeutic agents or chemotherapeutic compounds and one or more of the described HIF-1a prolyl hydroxylase inhibitors.
A method of prophylactically treating infection in a subject against an infection, comprising administering to the subject an effective amount of one or more of the HIF-1 inhibitors described.
A method for treating an infection in a subject caused by a microorganism, comprising administering to the subject an effective amount of one or more of the described HIF-1 to prolyl hydroxylase inhibitors.
A method for treating infection in a subject wherein the infection is caused by a pathogen chosen from bacteria, viruses, yeasts, fungi or parasites, which comprises administering to the subject with an infection an effective amount of one or more HIF-1 inhibitors to .
A method for treating a subject diagnosed with an infection caused by a microorganism, comprising administering to the subject an effective amount of one or more of the described HIF-1 to prolyl hydroxylase inhibitors.
A method to prevent the transmission of a disease caused by a microorganism from one subject to another, which comprises administering to the subject an effective amount of one or more of the described HIF-1a prolyl hydroxylase inhibitors.
A method for increasing the effectiveness of a vaccine, comprising co-administering to a subject a vaccine in combination with one or more of the described HIF-1a prolyl hydroxylase inhibitors.
A method for increasing the effectiveness of a vaccine, comprising administering to a subject a composition comprising a vaccine in combination with one or more of the described HIF-1 to prolyl hydroxylase inhibitors.
A method for inhibiting factor-1alpha (HIF-1a) activity of hypoxia-inducible 4-prolyl hydroxylase in a subject thus stabilizing the cellular level of HIF-1, which comprises administering to the subject an effective amount of one or more of the inhibitors of HIF-1 to 4-prolyl hydroxylase described.
A method for modulating the cellular level of hypoxia-inducible factor-1 (HIF-1) in a subject, comprising contacting the subject with an effective amount of one or more than an effective amount of one or more of the inhibitors of HIF-1 to prolyl hydroxylase described.
A method for increasing the cellular level of HIF-1 in a subject during a state of normoxia, which comprises administering to a subject an effective amount of one or more of the described HIF-1 inhibitors to prolyl hydroxylase.
A method for treating anemia in a subject, comprising administering to the subject an effective amount of one or more of the described HIF-1a prolyl hydroxylase inhibitors.
A method for treating a subject diagnosed as having anemia, comprising administering to the subject an effective amount of one or more of the described HIF-1 to prolyl hydroxylase inhibitors.
A method for increasing angiogenesis in a subject, comprising administering to the subject an effective amount of one or more of the described HIF-1 to prolyl hydroxylase inhibitors.
A method for treating a subject having a need for increased angiogenesis, comprising administering to the subject an effective amount of one or more of the described HIF-1 to prolyl hydroxylase inhibitors.
A method for treating sepsis in a subject, comprising administering to the subject an effective amount of one or more of the described HIF-1a prolyl hydroxylase inhibitors.
A method for treating a subject diagnosed as having sepsis, comprising administering to a subject an effective amount of one or more inhibitors of HIF-1 to prolyl hydroxylase.
A method of treating peripheral vascular disease in a subject, comprising administering to a subject an effective amount of one or more of the described HIF-1 to prolyl hydroxylase inhibitors.
A method for treating a subject diagnosed as having peripheral vascular disease, comprising administering to a subject an effective amount of one or more of the described HIF-1 to prolyl hydroxylase inhibitors.
A method for treating a wound in a subject, comprising administering to a subject an effective amount of one or more of the described HIF-1a prolyl hydroxylase inhibitors.
A method for treating a subject having a wound, comprising administering to a subject an effective amount of one or more of the described HIF-1 to prolyl hydroxylase inhibitors.
A method for preventing infection of a wound in a subject, comprising administering to a subject an effective amount of one or more of the described HIF-1 to prolyl hydroxylase inhibitors.
A method for treating diabetes in a subject, comprising administering to the subject an effective amount of one or more of the described HIF-1a prolyl hydroxylase inhibitors.
A method for treating a subject diagnosed as having diabetes, comprising administering to the subject an effective amount of one or more of the described HIF-1 prolyl hydroxylase inhibitors.
A method for treating hypertension in a subject, comprising administering to the subject an effective amount of one or more of the described HIF-1a prolyl hydroxylase inhibitors.
A method for treating a subject diagnosed as having hypertension, comprising administering to the subject an effective amount of one or more of the described prolyl hydroxylase HIF-1a inhibitors.
In addition, the following is described: The use of one or more of the described prolyl hydroxylase HIF-1a inhibitors to make a medicament for treating a wound.
The use of one or more of the described prolyl hydroxylase HIF-1a inhibitors to make a medicament for treating cancer.
The use of one or more of the described HIF-1a prolyl hydroxylase inhibitors to make a medicament for increased cellular immunity in a subject having decreased cellular immunity.
The use of one or more of the described HIF-1a prolyl hydroxylase inhibitors to make a medicament for increasing the immune response in the subject having a decreased immune response.
The use of one or more of the described prolyl hydroxylase HIF-1a inhibitors to make a medicament for treating an infection.
The use of one or more of the described prolyl hydroxylase HIF-1a inhibitors to make a medicament that prophylactically prevents infection in a subject wherein the infection is caused by a pathogen.
Procedures Activity test of EGLN-1 The enzymatic activity of EGLN-1 (or EGLN-3) is determined using mass spectrometry (matrix-assisted laser desorption ionization, MS flight time, MALDI-TOF MS, EGLN-1 -179/426 recombinant human is prepared As described above and in the accompanying data, full length recombinant human EGLN-3 is prepared in a similar manner, however, it is necessary to use the His-MBP-TVMV-EGLN-3 fusion for the test due to instability of the digested protein For both enzymes, the peptide HIF-1a corresponding to residues 556-574 is used as substrate The reaction is conducted in a total volume of 50 μm containing TrisCI (5 mM, pH 7.5), ascorbate (120 μ?), 2-oxoglutarate (3.2 μ?), HIF-1a (8.6 μ?), And bovine serum albumin (0.01%) The enzyme, predetermined amount for hydroxylate 20% substrate in 20 minutes, is added to start the reaction Where inhibitors are used, the compounds are prepared in dimethyl sulfoxide or at a final test concentration of 10 times. After 20 minutes at room temperature, the reaction is stopped by transferring 10 μ? of reaction mixture to 50 μL · of a mass spectrometric matrix solution (α-cyano-4-hydroxycinnamic acid), 5 mg / mL in 50% acetonitrile / 0.1% TFA, 5 mM NH4PO4). Two microliters of the mixture are applied on a MALDI-TOF MS target plate for analysis with an Applied Biosystems (Foster City, CA) 4700 ALDI-TOF MS Proteomics Analyzer equipped with a laser Nd: YAG (355 nm, width of 3 ns pulse, 200 Hz repetition rate). The hydroxylated peptide product is identified from a substrate by the gain of 16 Da. The data defined as percent conversion of substrate to product are analyzed in GraphPad Prism 4 to calculate Cl50 values.
Test of VEGF ELISA HEK293 cells are seeded in 96-well plates coated with poly-lysine at 20,000 cells per well in DMEM (10% FBS, 1% NEAA, 0.1% glutamine). After incubation overnight, the cells are washed with 100 μ? of Opti-MEM (Gibco, Carlsbad, CA) to remove serum. The compound in DMSO is serially diluted (starting with 100 μ?) In Opti-MEM and added to the cells. The conditioned medium is analyzed for VEGF with a Quantikine human VEGF immunoassay kit (R &D Systems, Minneapolis, MN). Optical density measurements at 450 nm are recorded using the Spectra Max 250 (Molecular Devices, Sunnyvale, CA). Data defined as% stimulation by DFO is used to calculate EC50 values with GraphPad Prism 4 software (San Diego, CA).
Study of ischemic posterior extremities in mouse All work with animals was conducted in accordance with the Guide for the Care and Use of Laboratory Animáis (National Academy of Sciences, Copyright © 1996). In these experiments, male C57BI / 6 mice aged 9-10 weeks were used from Charles River Laboratory (Portage, MI). Mice are dosed orally with vehicle (50 mM aqueous carbonate pH buffer, pH 9.0) or with the compound to be tested in the vehicle at 50 mg / kg or 100 mg / kg. The animals are dosed three times: day 1 at 8 AM and 5 PM, and day 2 at 8 AM. One hour after the first dose, unilateral arterial ligation is performed under anesthesia using isoflurane. The femoral artery is ligated proximal to the origin of the popliteal artery. The contralateral limb undergoes a simulation surgical procedure. The ligation is performed in an alternating manner between the right and left hind limbs. Two hours after dosing at 8 AM on day 2, blood is obtained by ventricular puncture while the mice are anesthetized with isoflurane. Serum samples for EPO analysis are obtained using gel-coagulated serum separation tubes. The gastrocnemius heart, liver and muscle are harvested, frozen instantly in liquid nitrogen and stored at -80 ° C until used.
EPO test of mouse serum Mouse serum EPO is detected using Mouse Quantikine Erythropoietin ELISA kit from R &D Systems in accordance with the manufacturer's instructions.
Western Blot Analysis of HIF in mouse tissue Tissues from mice stored at -80 ° C are sprayed with mortar and pestle cooled with liquid nitrogen. The nuclear extracts are prepared using a NE-PER kit (Pierce Biotechnology). For immunoprecipitation, the nuclear extract is added to monoclonal antibody to HIF-1a (Novus, Littleton, CO) at a tissue to antibody ratio of 200: 1. The suspension is incubated in a conical microcentrifuge tube for 4 hours at 4 ° C. Agarose beads coupled to protein A / G (40 μL · of a 50% suspension) are then added to the tube. After stirring overnight at 4 ° C, beads are washed 3 times with ice-cold phosphate buffered saline. Then counts are prepared for SDS-PAGE with 40 μL · of Laemmli sample pH regulator. The separated proteins in SDS-PAGE are transferred onto nitrocellulose sheets with XCell-ll Blot Module system (Invitrogen, Carlsbad, CA). The blots are blocked with 5% BSA before incubation with a rabbit antibody to HIF-1a at a dilution of 1: 100 (Novus). The blots are then washed with pH regulated saline with Tris / Tween-20 pH regulator, and incubated with goat anti-rabbit secondary antibody conjugated with horseradish peroxidase (Pierce, Rockford, IL). The transfers are with the ECL reagent (Amersham, Piscataway, NJ). Images of the transfers are captured by an Epson Expression 1600 scrutineer.
Table VIII below provides non-limiting examples of the live response to compounds according to the present disclosure, for example, inhibition of HIFPH2 (EGLN1) and stimulation of VEGF.
TABLE VIII Compound F2 was further tested in the mouse serum EPO test described above and found to have an EPO EC50 = 1 μ ?.
Increased neutrophil activity One aspect of the description related to the increased neutrophil activity and the increased neutrophil life that the described compounds can provide. The following provides methods and examples of phagocytosis increased by the disclosed compounds. In the following examples, the Newman cell strain of Staphylococcus aureus is ATCC # 25904 and the methicillin-resistant Staphylococcus aureus strain is ATCC # 33591, and the U937 cell line is ATCC # CRL-1593.2. HaCaT cells were generated by the procedure of Boukamp P et al., "Normal keratinization in a spontaneously immortalized aneuploid human keratinocyte cell line" J Cell Biol. (1988) Mar: 106 (3) 761-71.
For bacterial testing, S. aureus (ATCC 33591) can be grown in Todd-Hewitt broth (THB) to logarithmic phase (0.4-0.5 x 107 cfu / mL) and then formed into a pill , wash and resuspend in tissue culture medium PBS or RPMI 1640 at the desired concentration. Venous blood from healthy volunteers can be used for whole blood and neutrophil isolation. Neutrophils can be purified using the PolyMorphPrep kit (Axis Shield) in accordance with the manufacturer's instructions. The U937 human monocyte cell line can be propagated in RPMI 1640 plus 10% fetal calf serum, 1 mmol / L NaPyr, 10 mmol / L HEPES and glucose. Whole blood or phagocytic cells can be preincubated with mimosine (Sigma-Aldrich) (0-500 μp ??? / L) for 2-4 hours, then challenged with S. aureus (either 105 cfu in 100 pL added to 300 pL of whole blood or a MOI of 1 bacterium / cell for isolated phagocytes). Aliquots are then placed on THB agar after 30 (whole blood and neutrophils) or 60 (U937 monocytes) min for enumeration of surviving S. aureus colony forming units.
EXAMPLE 5 Isolated human neutrophils were pre-incubated for 1 hour at 37 ° C with a control consisting of dimethyl sulfoxide (DMSO), 50 μ? and 200 μ? of a compound described in table VIII. Staphylococcus aureus (Newman strain) was then added to the neutrophils at an MOI of approximately 0.1 (1 bacterium for every 10 neutrophils). Samples were taken at 60 and 90 minutes where the neutrophils were lysed with water, and the total of remaining bacteria were enumerated on agar plates with Todd-Hewitt broth (THB).
Figure 2 represents the effectiveness of a compound described in Table VIII to provide increased death of S. aureus (Newman strain) at concentrations of 50 μ? and 200 μ? versus control. As can be seen in Figure 2, at 90 minutes after infection, approximately half of the colony-forming units are absent at a concentration of 200 μ ?.
EXAMPLE 6 Cells from the U937 human monocyte cell line were pre-incubated for 2 hours at 37 ° C under a 5% C02 atmosphere with a control consisting of DMSO and 10 μ? of a compound described in table VIII. Staphylococcus aureus (virulent Newman strain) was then added to the cells at an MOI of about 1 (1 bacterium per 1 cell). Samples were taken at 30, 60, 90 and 120 minutes after infection. The U937 cells were lysed with Triton ™, and the amount of bacteria that remained was enumerated on plates with THB agar.
As illustrated in Figure 3, a 4-prolyl hydroxylase inhibitor compound described in Table VIII is effective in the annihilation of S. aureus when compared to a control (DMSO). At 120 minutes, a compound described in Table VIII produces an 84% death of Newman strain of S. aureus when the monocytic cells are treated with 10 μ of a compound described in Table VIII, thus showing increased phagocytosis due to the duration Life span of neutrophils extended.
EXAMPLE 7 Two samples of cells from the U937 human monocyte cell line were pre-treated with 10 μ? of a compound described in table VIII. One sample was pre-incubated for 1 hour and the other sample was pre-incubated for 2 hours, both at 37 ° C under an atmosphere of 5% CO2. S. aureus (virulent Newman strain) was then added to the cells at an OI of about 1-2 (1-2 bacteria per 1 cell). Aliquots of cells were removed from each sample at 30, 60, 90 and 120 minutes after infection, U937 cells were immediately lysed with Triton ™, and the total remaining bacteria were enumerated on THB agar plates.
As illustrated in Figure 4, U937 monocytic cells pre-treated with 10 μ? of a compound described in Table VIII for 1 hour (black bars) had almost no colony-forming units present 120 minutes after infection, whereas pre-treated cells two hours before infection had approximately 15% forming units. colonies present compared to cells that were not treated. In addition, Figure 4 indicates that within 1 hour after the U937 monocytic cells had been exposed to S. aureus (Newman strain), the number of colony forming units present was significantly reduced relative to cells that did not receive inhibitor from. HIF-1a.
EXAMPLE 8 Two cell samples from the U937 human monocyte cell line were pretreated with 10 μ of a compound described in Table VIII by 1 at 37 ° C under an atmosphere of 5% C02. S. aureus (Newman strain) was added to one sample and methicillin-resistant S. aureus (MRSA) was added to the other sample. Both bacteria were added at an MOI of approximately 2-3 (2-3 bacteria per 1 cell). Aliquots of cells were removed from each sample at 30, 60, 90 and 120 minutes after infection. The U937 cells were lysed immediately with Triton ™, and the total remaining bacteria were enumerated on THB agar plates.
As illustrated in Figure 5, at 120 minutes after infection, cells infected with MRSA had only 25% of the average percentage of colony forming units present when compared to the control as represented by the black bars. Also depicted in Figure 5, at 60 minutes after infection, the Newman strain of S. aureus had only about 12% of the average percentage of colony forming units present when compared to the control, and there were almost no forming units of colonies present at 120 minutes after infection as represented by the bars with diagonals.
EXAMPLE 9 Two samples of cells from the U937 human monocyte cell line treated with 10 μ? of a compound described in Table VIII were infected with either S. aureus (Newman strain) and methicillin-resistant S. aureus (MRSA). Both bacteria were added to an OI of approximately 2-3 (2-3 bacteria per 1 cell). Aliquots of cells were removed from each sample at 30, 60, 90 and 120 minutes after infection. The U937 cells were lysed immediately with Triton ™, and the total remaining bacteria were enumerated on THB agar plates.
As illustrated in Figure 6, even without pretreatment with a compound described in Table VIII, at 60 minutes after infection, the Newman strain of S. aureus had only 25% of the average percentage of colony forming units. present when compared to control 80 as represented by the black bars. The MRSA strains were reduced to less than about 40% of the average percentage of colony forming units present when compared to the control as represented by the diagonal bars.
EXAMPLE 10 Three samples of cells from the U937 human monocyte cell line were treated with 100 μ? of mimosine, 2 μg / mL vancomycin or 10 μ? of a compound described in table VIII. Each sample was infected with either S. aureus (Newman strain) or methicillin-resistant S. aureus (MRSA). Both bacteria were added at an MOI of approximately 2-3 (2-3 bacteria per 1 cell). At 120 minutes after infection, aliquots were removed from all six samples and U937 cells were lysed immediately with Triton ™, and the total remaining bacteria were enumerated on THB agar plates.
As illustrated in Figure 7, 10 μ? of a compound described in Table VIII increased the death of both bacterial strains, ie S. aureus, Newman (bars with diagonals) or MRSA (black bars), when compared with cells treated with mimosine. Referring to the bars with diagonals representing the Newman strain, as further shown in Figure 7, the sample treated with 10 μ? of a compound described in Table VIII had a lower average percentage of colony forming units present than cells treated with vancomycin. U937 cells infected with MRSA (black bars) had approximately 40% of the colony forming units present versus untreated cells and less than half the number of those treated with mimosine.
Figure 8 represents the average percentage of colony forming units present (Newman strain) versus control for human monocyte cells (U937) at 30, 60, 90 and 120 minutes after infection, when treated with 10 μ? of a compound described in table VIII. The black bars represent the treatment with a compound described in table VIII starting at the same time of infection with S. aureus, the bars with diagonals represent cells pretreated with a compound described in table VIII and the white bars represent cells pretreated two hours before of infection with S. aureus.
Figure 9 represents the average percent of colony forming units present at 120 minutes post-infection vs D SO (control) when the HaCaT cells are pretreated for 1 hour in accordance with the above examples with 800 μ? of mimosine, 10 μ? a compound described in Table VIII or 1 pg / mL vancomycin followed by inoculation with S. aureus (Newman strain, bars with diagonals) and methicillin-resistant S. aureus (MRSA, black bars). Figure 10 represents the average percent of colony forming units present at 30, 60, 90 and 120 minutes after infection for Newman strain of S. aureus (bars with diagonals) and MRSA (black bars) when the HaCaT cells are pre-treated for 1 hour according to the previous examples with 10 μ? of a compound described in table VIII.
Figure 1 depicts the upregulation of phosphoglycerate kinase (PGK) expression in wild-type murine embryo fibroblasts as a result of treatment with a compound described in Table VIII at a dose of 1 μ? (E), 10 μ? (F) and 50 μ? (G) vs. wild-type (H) control and lack of up-regulation of PGK expression in cells blocked for HIF-1 as a result of treatment with a compound described in Table VIII at a dose of 1 μ? (A), 10 μ? (B) and 50 μ? (C) and blocked control for HIF-1 (D). Both types of cells were treated for 7 hours.
Figure 12 depicts the upregulation of phosphoglycerate kinase (PGK) expression in wild-type murine embryo fibroblasts as a result of treatment with compound described in Table VIII at a dose of 1 μ? (E), 10 μ? (F), vs. wild-type control (G) and the lack of up-regulation of PGK expression in cells blocked for HIF-1 as a result of treatment with a compound described in Table VIII at a dose of 1 μ? (A), 10 μ? (B) and 50 μ? (C) and blocked control for HIF-1 (D).
Figure 13 depicts the upregulation of phosphoglycerate kinase (PGK) expression in wild-type murine embryo fibroblasts as a result of treatment with compound a described compound 18 in Table VIII at a dose of 1 μ? (E), 10 μ? (F) and 50 μ? (G) vs. wild type (H) control and lack of upregulation of PGK expression in cells blocked for HIF-1 as a result of treatment with compound a compound described in Table VIII at doses of 1 μ? (A), 10 μ? (B) and 50 μ? (C) and the blocked control for HIF-1 (D).
Vascular endothelial growth factor (VEGF) is dependent on the presence of HIF-1 in cells. Figure 14 depicts the upregulation of vascular endothelial growth factor (VEGF) expression in wild-type murine embryo fibroblasts as a result of treatment with compound a compound described in Table VIII at a dose of 1 μ? (E), 10 μ? (F) and 50 μ? (G) vs. control (H) and the lack of upregulation of VEGF expression in cells blocked for HIF-1 treated with a compound described in Table VIII at a dose of 1 μ? (A), 10 μ? (B) and 50 μ? (C) and blocked control for HIF-1 (D). Both types of cells were treated for 7 hours. As seen in Figure 14, VEGF is increased when dosed at 10 μ? (F) and 50 μ? (G) In cells blocked for HIF-1, there is no increase in up-regulation of PGK when the cells blocked for HIF-1 are dosed at 1 μ? (A), 10 μ? (B), and 50 μ? (C) when compared to the wild-type control (H) and the blocked control for HIF-1 (D).
Wound healing EXAMPLE 11 Twenty-four (24) mice were divided into three groups. Animals of group 2 were given bacterial inoculum (Newman strain of antibiotic-sensitive Staphylococcus aureus [ATCC # 25904]) by subcutaneous injection on day 0 and received 10 μ? of a compound described in Table VIII for 6 days starting at 2 hours after infection (days 0-5). Group 1 received subcutaneous injections of DMSO. Group 3 served as a control group and did not receive treatment. The size of the lesion was monitored daily during the study. Only open wounds were considered injuries; White bumps and patches without an open wound were not measured for lesion size. On day 7, the final lesion size was measured and the mice were sacrificed for the determination of bacterial load on the skin and kidney. On day 7 after infection, the mice were sacrificed after the measurement of the final lesion size and the injured skin tissue and both kidneys were collected. The skin and kidneys were homogenized in pH regulated saline with phosphate, serially diluted and placed on Todd-Hewitt agar plates to enumerate colony forming units of bacteria.
Figure 15 shows the significant reduction in the size of skin lesions (wounds) for animals in group 1 (solid circles (·)) treated with 10 μ? of a compound described in Table VIII versus animals treated with DMSO (solid cadres (|)). As illustrated in Figure 15, the mice were infected with Newman strain of S. aureus followed by treatment with 10 μ? of a compound described in Table VIII or DMSO (control) at 2 hours after infection. The data show statistically significant reduction in the size of skin lesions (wounds) for animals treated with a compound described in Table VIII (solid circles (·)) or DMSO (solid frames (|)).
Figure 16 shows the significant reduction in the size of skin lesions (wounds) for animals in group 1 (solid circles (·)) treated with 10 μ? of a compound described in Table VIII versus untreated animals (solid triangles (A)). As illustrated in Figure 16, mice infected with Newman strain of S. aureus followed by treatment with 10 μ? of a compound described in Table VIII or no treatment at 2 hours after infection. The data show the reduction in the size of skin lesions (wounds) for animals treated with a compound described in Table VIII (solid (·)) or untreated circles (solid triangles (A)).
EXAMPLE 12 Twenty-four (24) mice were divided into three groups. Animals of group 1 were given bacterial inoculum (Newman strain) of antibiotic-sensitive Staphylococcus aureus [ATCC # 25904]) by subcutaneous injection on day 0 and received 10 μ? of a compound described in Table VIII for 6 days starting at 2 hours after infection (days 0-5). Group 1 received subcutaneous injections of DMSO. Group 3 served as a control group and did not receive treatment. The size of the lesion was monitored daily during the study. Only open wounds were considered injuries; White bumps and patches without an open wound were not measured for lesion size. On day 7 after infection, the mice were sacrificed after the measurement of the final lesion size and the injured skin tissue and both kidneys were collected. The skin and kidneys were homogenized in pH regulated saline with phosphate, serially diluted and placed on Todd-Hewitt agar plates to enumerate colony forming units of bacteria.
Figure 17 is a histogram where the number of colony forming units observed per gram of skin tissue is illustrated. The straight lines indicate the average value for each group. The results for the untreated group are plotted under (A), the results for the group treated with DMSO are plotted under (B) and the results for the group treated with 10 μ of a compound described in table VIII are plotted under ( C).
Figure 18 is a graph of the colony forming units of observed bacteria found in the kidneys of the animals. The results for the untreated group are plotted under (A), the results for the group not treated with DMSO are plotted under (B) and the results for the group treated with 10 μ? of a compound described in table VIII are plotted under (C). As can be seen from these data, half of the animals treated with the HIF-1a prolyl hydroxylase inhibitor described in Table VIII had no bacteria in the kidney indicating that the compound described in Table VIII was capable of systemically preventing the spread of infection from the wound to the kidney.
EXAMPLE 13 Twenty (20) mice were divided into three groups. Animals of group 1 were given bacterial inoculum (Streptococcus pyogenes NZ131 [strain M49]) by subcutaneous injection on day 0 and were pretreated with the compound described in Table VIII once a day for 4 days, starting 2 hours before the infection (days 0-3). The compound described in Table VIII was formulated in cyclodextran and diluted in distilled water before subcutaneous injection, at a dose of 0.5 mg / kg. The size of the lesion was monitored daily during the study. Only open wounds were considered injuries; White bumps and patches without an open wound were not measured for lesion size. On day 4 after infection, the mice were sacrificed after measurement of the final lesion size and the injured skin tissue and both kidneys were collected. The skin and kidneys were homogenized in pH regulated saline with phosphate, serially diluted and placed on Todd-Hewitt agar plates to enumerate colony forming units of bacteria.
Figure 19 represents the results of example 13 wherein 2 groups of animals are treated with Streptococcus pyogenes NZ131 [strain M49]. The data show the reduction in the size of skin lesions (wounds) for animals in group 1 (solid triangles (A)) treated with 0.5 mg / kg of a compound described in Table VIII versus animal treated with vehicle control (cyclodextran) (solid circles (")) Figure 20 is a histogram that also represents the results of example 12 wherein the number of colony forming units for the skin lesions observed in animals treated with control vehicle (cyclodextran) they are plotted under (A) and the results for the group treated with 0.5 mg / kg of a compound described in table VIII are plotted under (B).
Kits Also described are kits comprising inhibitors of HIF-1a prolyl hydroxylase to be delivered to a human, mammal or cell. The kits may comprise one or more packaged unit doses of a composition comprising one or more HIF-1 prolyl hydroxylase inhibitors to be delivered to a human, mammal or cell. Unitary dose ampoules or multiple dose containers, in which the HIF-1 prolyl hydroxylase inhibitors to be delivered are labeled before use, may comprise a hermetically sealed container enclosing an amount of polynucleotide or solution containing a suitable substance for a pharmaceutically effective dose thereof, or multiple of an effective dose. The HIF-1 inhibitor to prolyl hydroxylase can be packaged as a sterile formulation, and the hermetically sealed container is designed to preserve sterility of the formulation until used.
The disclosed HIF-1a prolyl hydroxylase inhibitors may also be present in liquids, emulsions or suspensions for the delivery of aerosolized active therapeutic agents to body cavities such as the nose, throat or bronchial passages. The ratio of inhibitors of HIF-1 to prolyl hydroxylase to the other agents of the combination in these preparations will vary as required by the dosage form.
Depending on the intended mode of administration, the pharmaceutical compositions may be in the form of solid, semi-solid or liquid dosage forms, such as, for example, tablets, suppositories, pills, capsules, powders, liquids, suspensions, lotions, creams, gels or the like, preferably in the form of a unit dose suitable for simple administration of a precise dose. The compositions will include, as noted above, an effective amount of the HIF-1 inhibitor to prolyl hydroxylase in combination with a pharmaceutically acceptable carrier and, in addition, may include other medicinal agents, pharmaceutical agents, carriers, adjuvants, diluents, etc.
For solid compositions, conventional non-toxic solid carriers include, for example, pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharin, talc, cellulose, glucose, sucrose, magnesium carbonate and the like. Liquid pharmaceutically administrable compositions can be prepared, for example, by dissolving, dispersing, etc., an active compound as described herein and optional pharmaceutical adjuvants in an excipient, such as, for example, water, aqueous saline dextrose, glycerol, ethanol and similar, to form a solution or suspension. If desired, the pharmaceutical composition to be administered may also contain minor amounts of non-toxic auxiliary substances such as wetting or emulsifying agents, pH regulating agents and the like, for example, sodium acetate, sorbitan monolaurate, triathanolamine- sodium acetate, triethanolamine oleate, etc. Actual methods of preparing such dosage forms are known, or will be apparent, to those skilled in the art; for example, see Remington's Pharmaceutical Sciences, previously mentioned as a reference.
Parenteral administration, if used, is generally characterized by injection. Injectable substances can be prepared in conventional forms, either as liquid solutions or suspensions, solid forms suitable for solution or suspension in liquid before injection, or as emulsions. A more recently revised approach for parenteral administration involves the use of a slow release or sustained release system, such that a constant dose level is maintained. See, e.g., US patent. No. 3,710,795, which is incorporated herein by reference.
When the HIF-1a prolyl hydroxylase inhibitors are to be delivered to a mammal other than a human, the mammal may be a non-human primate, horse, pig, rabbit, dog, sheep, goat, cow, cat, guinea pig or rodent. The term human and mammal do not denote a particular age or sex. Therefore, it is intended that adult and newborn subjects, as well as fetuses, whether male or female, be covered. A patient, subject, human or mammal refers to a subject suffering from a disease or disorder. The term "patient" includes human and veterinary subjects.
Although particular embodiments of the present disclosure have been illustrated and described, it will be obvious to those skilled in the art that some other changes and modifications may be made without departing from the essence and scope of the description. Therefore, it is intended to cover in the appended claims all those changes and modifications that are within the scope of this description.

Claims (49)

  1. NOVELTY OF THE INVENTION CLAIMS 1. - The use of a hypoxia-inducible factor-1 alpha inhibitor (HIF-1a) prolyl hydroxylase to make a medicament for increasing the stabilization of hypoxia-inducible factor-1 alpha (HIF-1a) in a subject, the inhibitor of HIF-1a prolyl hydroxylase having the formula: wherein L is chosen from CH2 or SO2; R represents from 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R and R2 are each independently chosen from: i) hydrogen; ii) linear C 1 alkyl, branched C 3 -C 10 or substituted or unsubstituted C 3 -C 10 cyclic; Ii) linear C2-Cio alkenyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iv) linear C2-C10 alkynyl or branched C3-C10 substituted or unsubstituted alkynyl; v) substituted or unsubstituted C6 or C10 aryl; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or viii) R1 and R2 can be taken together to form a substituted or unsubstituted 9-membered 5-membered heterocyclic or unsubstituted or substituted 5-membered or 6-membered heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof. 2 - . 2 - The use of a hypoxia-inducible factor-1 alpha inhibitor (HIF-1a) prolyl hydroxylase to make a medicament for increasing the cellular immune response in a subject, the HIF-1a prolyl hydroxylase inhibitor having the formula: where L is chosen from CH2 or S02; R represents from 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R1 and R2 are each independently chosen from: i) hydrogen; ii) linear C-i-C- ??, branched alkyl of C3-C10 or substituted or unsubstituted C3-C10 cyclic; iii) linear C2-Cio alkenyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iv) linear C2-C10 alkynyl or branched C3-C10 substituted or unsubstituted alkynyl; v) substituted or unsubstituted C6 or C 0 aryl; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or viii) R1 and R2 can be taken together to form a substituted or unsubstituted 9-membered 5-membered heterocyclic or unsubstituted or substituted 5-membered or 6-membered heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof. 3. - The use of an inhibitor of hypoxia-inducible factor-1 alpha (HIF-1a) prolyl hydroxylase to make a medicament for treating cancer in a subject, the HIF-1a prolyl hydroxylase inhibitor having the formula: wherein L is chosen from CH2 or SO2; R represents from 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R1 and R2 are each independently chosen from: i) hydrogen; ii) linear C1-C10 alkyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iii) linear C2-C10 alkenyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iv) C2-Cio linear or branched C3-C10 substituted or unsubstituted linear alkynyl; v) substituted or unsubstituted C6 or C10 aryl; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or viii) R1 and R2 can be taken together to form a substituted or unsubstituted 9-membered 5-membered heterocyclic or substituted or unsubstituted 5-membered or 6-membered heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof. 4. - The use of an inhibitor of hypoxia-inducible factor-1 alpha (HIF-1a) prolyl hydroxylase to make a medicament for prophylactically treating a subject against an infection, the HIF-1a prolyl hydroxylase inhibitor having the formula: where L is chosen from CH2 or S02; R represents from 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R1 and R2 are each independently chosen from: i) hydrogen; ii) linear alkyl of C-pC-io, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; ii) linear C2-C10 alkenyl, branched C3-C0 or substituted or unsubstituted C3-C10 cyclic; iv) linear C2-Ci0 alkynyl or branched C3-C10 substituted or unsubstituted alkynyl; v) substituted or unsubstituted C6 or C10 aryl; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or viii) R and R2 can be taken together to form a substituted or unsubstituted 5-membered 5-membered heterocyclic or substituted or unsubstituted 5-membered or 6-membered ring heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof. 5. - The use of an inhibitor of hypoxia-inducible factor-1 alpha (HIF-1a) prolyl hydroxylase to make a medicament for treating an infection in a subject caused by a microorganism, the compound having the formula: where L is chosen from CH2 or S02; R represents from 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R1 and R2 are each independently chosen from: i) hydrogen; ii) linear C1-C10 alkyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iii) linear C2-C10 alkenyl, branched C3-C0 or substituted or unsubstituted C3-C10 cyclic; iv) linear C2-Ci0 alkynyl or branched C3-C10 substituted or unsubstituted alkynyl; v) substituted or unsubstituted C6 or C10 aryl; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or viii) R1 and R2 can be taken together to form a substituted or unsubstituted 9-membered 5-membered heterocyclic or substituted or unsubstituted 5-membered or 6-membered heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof. 6. - The use as claimed in claim 5, wherein the infection is caused by a pathogen chosen from bacteria, viruses, yeasts, fungi or parasites. 7 -. 7 - The use of a hypoxia-inducible factor-1 alpha inhibitor (HIF-1a) prolyl hydroxylase to make a drug to increase the effectiveness of a vaccine, the compound having the formula: where L is chosen from CH2 or S02; R represents from 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R1 and R2 are each independently chosen from: i) hydrogen; ii) linear C-i-C10 alkyl, branched C3-C 0 or substituted or unsubstituted C 3 -C 10 cyclic; Ii) linear C2-C10 alkenyl, branched C3-C-10 or substituted or unsubstituted C3-C10 cyclic; iv) linear C2-Ci0 alkynyl or branched C3-C10 substituted or unsubstituted alkynyl; v) substituted or unsubstituted C6 or C10 aryl; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or viii) R1 and R2 can be taken together to form a substituted or unsubstituted 9-membered 5-membered heterocyclic or substituted or unsubstituted 5-membered or 6-membered heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof. 8. - The use of a hypoxia-inducible factor-1 alpha inhibitor (HIF-1 a) prolyl hydroxylase for making a medicament for inhibiting hypoxia-inducible factor-1 alpha (HIF-1 a) prolyl hydroxylase activity in a subject, the compound having the formula: wherein L is chosen from CH2 or SO2; R represents from 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R1 and R2 are each independently chosen from: i) hydrogen; ii) linear alkyl of C-I-C-10, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iii) linear C2-C10 alkenyl, branched C3-C10 or substituted or unsubstituted C3-C-10 cyclic; iv) linear C2-C10 alkynyl or branched C3-C10 substituted or unsubstituted alkynyl; v) Ce or C10 substituted or unsubstituted aryl; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or viii) R and R2 can be taken together to form a substituted or unsubstituted 9-membered 5-membered heterocyclic or substituted or unsubstituted 5-membered or 6-membered ring heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof. 9. - The use of a hypoxia-inducible factor-1 alpha inhibitor (HIF-1 a) prolyl hydroxylase for making a medicament for treating anemia in a subject, the compound having the formula: wherein L is chosen from CH2 or SO2; R represents from 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R1 and R2 are each independently chosen from: i) hydrogen; ii) linear Ci-C alkyl, or, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iii) linear C2-Cio alkenyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iv) linear C2-C10 alkynyl or branched C2-Cw substituted or unsubstituted alkynyl; v) substituted or unsubstituted C6 or C10 aryl; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or viii) R1 and R2 can be taken together to form a 5-membered to 9-membered heterocyclic substituted or not substituted or substituted or unsubstituted 5-membered or 6-membered ring heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof. 10. - The use of a hypoxia-inducible factor-1 alpha inhibitor (HIF-1a) prolyl hydroxylase for making a medicament for increasing angiogenesis in a subject, the compound having the formula: where L is chosen from CH2 or S02; R represents from 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R and R2 are each independently chosen from: i) hydrogen; I) linear C 10 alkyl, branched C 3 -C 10 or substituted or unsubstituted C 3 -C 10 cyclic; iii) linear C2-C10 alkenyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iv) linear C2-C10 alkynyl or branched C3-C10 substituted or unsubstituted alkynyl; v) substituted or unsubstituted C6 or C10 aryl; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or viii) R1 and R2 can be taken together to form a substituted or unsubstituted 9-membered 5-membered heterocyclic or substituted or unsubstituted 5-membered or 6-membered heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof. 1 1.- The use of a hypoxia-inducible factor-1 alpha inhibitor (HIF-1 a) prolyl hydroxylase for making a medicament for treating subject sepsis, the compound having the formula: wherein L is chosen from CH2 or SO2; R represents from 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R1 and R2 are each independently chosen from: i) hydrogen; ii) C1-C10 linear alkyl, branched C3-Cio or substituted or unsubstituted C3-C10 cyclic; iii) linear C2-C0 alkenyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iv) linear C2-C10 alkynyl or branched C3-C10 substituted or unsubstituted alkynyl; v) Ce or C10 substituted or unsubstituted aryl; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations of the same; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or viii) R and R2 can be taken together to form a substituted or unsubstituted 9-membered heterocyclic or substituted or unsubstituted 5-membered or 6-membered heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof. 12. - The use of an inhibitor of hypoxia-inducible factor-1 alpha (HIF-1a) prolyl hydroxylase to make a medicament for treating peripheral vascular disease in a subject, the compound having the formula: where L is chosen from CH2 or S02; R represents from 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R1 and R2 are each independently chosen from: i) hydrogen; ii) linear C-i-C- ??, branched alkyl of C3-C0 or substituted or unsubstituted C3-C0 cyclic; iii) linear C2-C10 alkenyl, branched C3-C10 or substituted or unsubstituted Cz-Cw cyclic; iv) linear C2-C10 alkynyl or branched C3-C10 substituted or unsubstituted alkynyl; v) C 1 or C 10 substituted or unsubstituted aryl; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or viii) R and R2 can be taken together to form a substituted or unsubstituted 5-membered 5-membered heterocyclic or substituted or unsubstituted 5-membered or 6-membered ring heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof. 13. - The use of a hypoxia-inducible factor-1 alpha inhibitor (HIF-1a) prolyl hydroxylase to make a medicament for treating a wound in a subject, the compound having the formula: wherein L is chosen from CH2 or SO2; R represents from 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R1 and R2 are each independently chosen from: i) hydrogen; I) C1-C10 linear alkyl, branched C3-C-10 or substituted or unsubstituted C3-C10 cyclic; iii) linear C2-C10 alkenyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iv) linear C2-C10 alkynyl or branched C3-C10 substituted or unsubstituted alkynyl; v) Ce or C10 substituted or unsubstituted aryl; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or vii) R1 and R2 can be taken together to form a substituted or unsubstituted 9-membered 5-membered heterocyclic or substituted or unsubstituted 5-membered or 6-membered ring heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof. 14. - The use of an inhibitor of hypoxia-inducible factor-1 alpha (HIF-1a) prolyl hydroxylase to make a medicament for treating diabetes in a subject, the compound having the formula: where L is chosen from CH2 or S02; R represents from 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R and R2 are each independently chosen from: i) hydrogen; ii) linear Ci-Ci0 alkyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iii) linear C2-C10 alkenyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iv) linear C2-Ci0 alkynyl or branched C3-C10 substituted or unsubstituted alkynyl; v) substituted or unsubstituted C6 or C10 aryl; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or viii) R and R2 can be taken together to form a substituted or unsubstituted 5-membered 5-membered heterocyclic or substituted or unsubstituted 5-membered or 6-membered ring heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof. 15. - The use of a hypoxia-inducible factor-1 alpha inhibitor (HIF-1a) prolyl hydroxylase for making a medicament for treating hypertension in a subject, the compound having the formula: where L is chosen from CH2 or S02; R represents 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R1 and R2 are each independently chosen from: i) hydrogen; ii) linear C 1 alkyl, branched C 3 -C 10 or substituted or unsubstituted C 3 -C 10 cyclic; iii) linear C2-C-io alkenyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iv) linear C2-C10 alkynyl or branched C3-C10 substituted or unsubstituted alkynyl; v) aryl of C & or C10 substituted or unsubstituted; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or vii) R and R2 can be taken together to form a substituted or unsubstituted 9-membered 5-membered heterocyclic or substituted or unsubstituted 5-membered or 6-membered ring heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof. 16. - The use as claimed in any of claims 1 to 15, wherein L is CH2. 17. - The use as claimed in any of claims 1 to 15, wherein L is SO2. 18. - The use as claimed in any of claims 1 to 15, wherein each R is a substitution for independently chosen hydrogen of: i) linear, branched or cyclic alkyl substituted or unsubstituted C-1-C12; ii) linear, branched or unsubstituted or substituted C 1 -C 12 alkenyl; i¡¡) linear or branched substituted or unsubstituted alkynyl of C C-12; iv) substituted or unsubstituted aryl of C 6 or C 0 v) substituted or unsubstituted heterocyclic of C 1 -C 9; vi) substituted or unsubstituted heteroaryl of C Cn; vii) halogen; viii) - [C (R23a) (R23b)] xOR10; R10 is chosen from: a) -H; b) substituted or unsubstituted linear, branched or cyclic alkyl of d-C12; c) substituted or unsubstituted aryl or alkylenearyl of C & or C 10; d) substituted or unsubstituted heterocyclic of C1-C9; e) substituted or unsubstituted heteroaryl of d-Cn; ix) - [C (R23a) (R23b)] xN (R1 a) (R11b); R1 a and R 1b are each independently chosen from: a) -H; b) -OR 2; R 12 is hydrogen or linear C 1 -C 4 alkyl; c) C1-C12 substituted or unsubstituted linear, branched or cyclic alkyl; d) substituted or unsubstituted aryl of Ce or C10; e) substituted or unsubstituted heterocyclic of CrC9; f) substituted or unsubstituted heteroaryl of C1-C11; or g) R 1a and R 11b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; x) - [C (R23a) (R23b)] xC (0) R13; R 3 is: a) linear, branched or unsubstituted or substituted C 1 -C 12 alkyl; b) -OR14; R 4 is hydrogen, unsubstituted or substituted C 1 -C 4 linear alkyl, substituted or unsubstituted C 6 or C 10 aryl, unsubstituted or substituted C 1 -C 9 heterocyclic, substituted or unsubstituted heteroaryl of C Cn; c) -N (R15a) (R15b); R15a and R15b are each independently hydrogen, linear, branched or substituted or unsubstituted C 1 -C 12 alkyl; substituted or unsubstituted aryl of C6 or C-io; substituted or unsubstituted heterocyclic of CrC9; unsubstituted or substituted heteroaryl of C Cn or R15a and R15b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 selected heteroatoms of oxygen, nitrogen and sulfur; xi) - [C (R23a) (R23b)] xOC (O) R 6 R 6 is: a) linear, branched or unsubstituted or substituted C 1 -C 12 alkyl; b) -N (R17a) (R17b); R17a and R17 are each independently hydrogen, linear, branched or unsubstituted or substituted C 1 -C 12 alkyl; substituted or unsubstituted aryl of C6 or Ci0; substituted or unsubstituted heterocyclic of C1-C9; unsubstituted or substituted heteroaryl of C Cn; or R 7a and R 17b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; xii) - [C (R23a) (R23b)] xNR18C (0) R19; R18 is: a) -H; or b) C1-C12 substituted or unsubstituted linear, branched or cyclic alkyl; R19 is: a) linear, branched or unsubstituted cyclic alkyl of C Ci2; b) -N (R20a) (R20b); R20a and R20b are each independently hydrogen, linear, branched or substituted or unsubstituted cyclic alkyl of C1-C-12; substituted or unsubstituted aryl of C6 or C-i0; substituted or unsubstituted heterocyclic of C1-C9; substituted or unsubstituted heteroaryl of C1-C11; or R20a and R20b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; xiii) - [C (R23a) (R23b)] xCN; xiv) - [C (R23a) (R23b)] xNO2; xv) - [C (R23a) (R23b)) xR21; R21 is linear, branched or substituted C 1 -C 10 alkyl by 1 to 21 halogen atoms chosen from -F, -Cl, -Br or -I; xvi) - [C (R23a) (R23b)] xSO2R22; R22 is hydrogen, hydroxyl, linear or branched alkyl of substituted or unsubstituted C1-C4; aryl of C &, C10, or C- | 4 substituted or unsubstituted; C7-C5 alkylenearyl; substituted or unsubstituted heterocyclic of C1-C9; or substituted or unsubstituted heteroaryl of C-pCn; R23a and R23b are each independently hydrogen or C4 alkyl; and the subscript x is an integer from 0 to 5. 19. The use as claimed in any of claims 1 to 15, wherein the HIF-1a prolyl hydroxylase inhibitor is chosen from: 1-Benzyl-3-hydroxy-4- (piperidin-1-ylmethyl) pyridin-2 ( 1 H) -one; 1-Benzyl-3-hydroxy-4- (morpholin-4-ylmethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- (thiomorpholin-4-ylmethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- (thiazolidin-3-ylmethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- (pyrrolidin-1-ylmethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- (4-benzylpiperidin-1-ylmethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- (4-benzylpiperazin-1-ylmethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [(3-hydroxypyrrolidin-1-yl) methyl] pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- (1,4-dioxa-8-azaspiro [4.5) dec-8-ylmethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4-azepan-1-ylmethylpyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- (azocan-1-ylmethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy- (1,4'-bipiperidinyl-1 '-ylmethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [(3,4-dihydroquinolin-1 (2H) -yl) methyl] pyridin-2 (1 H) -one; 1 - [(1-benzyl-3-hydroxy-2-oxo-, 2-dihydropyridin-4-yl) methyl] pyrrolidine-2-carboxylic acid methyl; 1-Benzyl-3-hydroxy-4-. { [2- (methoxymethyl) pyrrolidin-1-yl] methyl} pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4-. { [2- (pyridin-2-yl) pyrrolidin-1-yl] methyl} pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- [4- (6-chloropyridazin-3-yl) piperazin-1-ylmethyl] pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- [4- (2-methoxyphenyl) piperazin-1-ylmethyl] pyridin-2 (1 H) -one; 1- (3-Methoxybenzyl) -3-hydroxy-4- (piperidin-1-ylmethyl) pindin-2 (1H) -one; 1-Benzyl-3-hydroxy-4-. { [3- (1H-imidazol-1-yl) propylamino] methyl} pyridin-2 (1 H) -one; 1-Beyl-3-hydroxy-4- (benzylaminomethyl) pyridin-2 (1H) -one; 1-Benzyl-3-hydroxy-4-. { [(2- (pyridin-2-yl) ethylamino] methyl} pyridin-2 (1H) -one; 1-Benzyl-3-hydroxy-4. [[[(Tetrahydrofuran-2-ylmethyl) amino] methyl] pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [(2-methoxyethylamino) methyl] pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- [(1-hydroxy-2-methylpropan-2-ylamino) methyl] pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [(pyridin-4-ylmethylamino) methyl] pyridin-2 ( 1 H) -one; 1-Benzyl-3-hydroxy-4- {[[furan-2-ylmethyl) amino] methyl} pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy- 4- { [2- (methylthio) ethylamino] methyl.}. Pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [(4-methoxybenzylamino) methyl] pyridine -2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [(1-phenylethylamino) methyl] pindin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- (cycloheptylaminomethyl) pyridine -2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [(4-methylcyclohexylamino) methyl] pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [(1 -benzylpiperidin-4-ylamino) methyl] pyridin-2 (1H) -one; 3 - [(1-Benzyl-3-hydroxy-2-oxo-1,2-dihydropindin-4-yl) methylamino] azepane-2- ona; 1-Benzyl-3-hydroxy-4 - [(1-benzylpyrrolidin-3-ylam ino) methyl] pyridin-2 (1H) -one; (R) -1-Benzyl-3-hydroxy-4 - [(1-phenylethylamino) methyl] pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [([1, 3] dioxolan-2-ylmethylmethylamino) methyl] pyridin-2 (1 H) -one; 1- (4'-Methylbenzenesulfonyl) -3-hydroxy-4- (pyrrolidin-1-ylmethyl) pyridin-2 (H) -one; 1- (4'-Methylbenzenesulfonyl) -3-hydroxy-4-thiazolidin-3-ylmethylpindin-2 (1 H) -one; 1- (4'-Methylbenzenesulfonyl) -3-hydroxy-4-azocan-1-ylmethylpyridin-2 (1 H) -one; 1- (4'-Methylbenzenesulfonyl) -3-hydroxy-4- (4- phenolpiperazin-1-methyl] -pyridn-2 (1 H) -one; 1- (4'-Methylbenzenesulfonyl) -3-hydroxy - ^ [I. Jbipiperidinyl-1-ylmethylpyridinyl-H-one; 1- (4'-Methylbenzenesulfonyl) -3-hydroxy-4- [4- (6-chloropyridazin-3-yl) piperazin-1-ylmethyl] pyridin-2 (1 H) -one; 1- (4'-Methylbenzenesulfonyl) -3-hydroxy-4- (benzylaminomethyl) pyridin-2 (1 H) -one; and 1 - (4'-Methylbenzenesulfonyl) -3-hydroxy-4 - [(2-methoxyethylammon) methyl] -pyridin twenty - . The use as claimed in any of claims 1 to 15, wherein the HIF-1a 4-prolyl hydroxylase inhibitor is a salt comprising selected anions of chloride, bromide, iodide, sulfate, bisulfate, carbonate, bicarbonate, phosphate, formate, acetate, propionate, butyrate, pyruvate, lactate, oxalate, malonate, maleate, succinate, tartrate, fumarate and citrate. 21. - The use as claimed in any of claims 1 to 15, wherein the inhibitor of HIF-1a 4-prolyl hydroxylase is a salt comprising selected cations of ammonium, sodium, lithium, potassium, calcium, magnesium and bismuth. 22. - A pharmaceutical composition comprising: A) HIF-1a prolyl hydroxylase inhibitor having the formula: where L is chosen from CH2 or S02¡R represents 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R and R2 are each independently chosen from: i) hydrogen; ii) linear Ci-C10 alkyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iii) linear C2-C10 alkenyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iv) linear C2-Ci0 alkynyl or branched C3-C10 substituted or unsubstituted alkynyl; v) substituted or unsubstituted C6 or C10 aryl; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or viii) R and R2 can be taken together to form a substituted or unsubstituted 5-membered 5-membered heterocyclic or substituted or unsubstituted 5-membered or 6-membered ring heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof; B) one or more excipients. 2. 3 - . 23 - A pharmaceutical composition comprising: A) HIF-1a prolyl hydroxylase inhibitor having the formula: wherein L is chosen from CH2 or SO2; R represents from 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R and R2 are each independently chosen from: i) hydrogen; I) C1-C10 linear alkyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iii) linear C2-C10 alkenyl, branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iv) linear C2-C10 alkynyl or branched C3-C10 substituted or unsubstituted alkynyl; v) Ce aryl or substituted or unsubstituted; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or viii) R1 and R2 can be taken together to form a substituted or unsubstituted 9-membered 5-membered heterocyclic or unsubstituted or substituted 5-membered or 6-membered heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof; B) one or more chemotherapeutic agents or chemotherapeutic compounds. 24. - The pharmaceutical composition according to claim 23, further characterized in that the chemotherapeutic agent or chemotherapeutic compound is chosen from 5-fluorouracil, taxol or leucovorin. 25. - A pharmaceutical composition comprising: A) HIF-1a prolyl hydroxylase inhibitor having the formula: where L is chosen from CH2 or S02; R represents from 0 to 5 substitutions for hydrogen; the subscript n is an integer from 0 to 5; R1 and R2 are each independently chosen from: i) hydrogen; ii) linear C-i-C- ??, branched alkyl of C3-C10 or substituted or unsubstituted C3-C10 cyclic; iii) linear alkenyl of C2-C10 branched C3-C10 or substituted or unsubstituted C3-C10 cyclic; iv) linear C2-C10 alkynyl or branched C3-C10 substituted or unsubstituted alkynyl; v) substituted or unsubstituted C6 or C10 aryl; vi) substituted or unsubstituted 5-membered or 6-membered ring heterocyclic having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; vii) substituted or unsubstituted 5-membered or 6-membered ring heteroaryl having 1 or more heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or viii) R1 and R2 can be taken together to form a 5-membered to 9-membered heterocyclic substituted or not substituted or substituted or unsubstituted 5-membered or 6-membered ring heteroaryl ring having from 2 to 20 carbon atoms and from 1 to 7 heteroatoms chosen from nitrogen, oxygen, sulfur and combinations thereof; or a pharmaceutically acceptable salt thereof; B) one or more vaccines. 26. - The pharmaceutical composition according to claim 25, further characterized in that the vaccine stimulates antibodies against hepatitis, influenza, measles, rubella, tetanus, polio or rabies. 27. - The pharmaceutical composition according to any of claims 22 to 26, further characterized in that L is CH2. 28. - The pharmaceutical composition according to any of claims 22 to 26, further characterized in that L is SO2. 29. The pharmaceutical composition according to any of claims 22 to 26, further characterized in that each R is a substitution for independently chosen hydrogen of: i) linear, branched or unsubstituted or substituted C 1 -C 12 alkyl; ii) linear, branched or unsubstituted or substituted C 1 -C 12 alkenyl; iü) linear or branched substituted or unsubstituted alkynyl of C1-C12; V) substituted or unsubstituted aryl of Ce or do; v) substituted or unsubstituted heterocyclic of C1-C9; vi) substituted or unsubstituted heteroaryl of C Cn; vii) halogen; viii) - [C (R23a) (R23b)] xOR10; R10 is chosen from: a) -H; b) linear, branched or unsubstituted cyclic alkyl of C Ci2; c) substituted or unsubstituted aryl or alkylenearyl of C6 or Ci0; d) substituted or unsubstituted heterocyclic of C - | - C9; e) substituted or unsubstituted heteroaryl of C-i-C; X) [C (R23a) (R23b)] xN (R1 a) (R11b); R11a and R1b are each independently chosen from: a) -H; b) -OR12; R12 is hydrogen or linear alkyl of CrC4; c) linear, branched or unsubstituted cyclic alkyl of C C-i2; d) substituted or unsubstituted aryl of Ce or C10; e) substituted or unsubstituted heterocyclic of C-1-C9; f) substituted or unsubstituted heteroaryl of C-i-C; or g) R11 a and R11b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; x) - [C (R23a) (R23)] xC (0) R13; R 3 is: a) linear, branched or substituted or unsubstituted cyclic alkyl of C C- | 2; b) -OR14; R14 is hydrogen, substituted or unsubstituted C1-C4 linear alkyl, substituted or unsubstituted C6 or C10 aryl, substituted or unsubstituted Ci-C9 heterocyclic substituted or unsubstituted heteroaryl of d-d-,; c) -N (R15a) (R15b); R 5a and R15b are each independently hydrogen, linear, branched or substituted or unsubstituted cyclic alkyl of Ci-C 2; substituted or unsubstituted aryl of C6 or C10; substituted or unsubstituted heterocyclic of C1-C9; substituted or unsubstituted heteroaryl of C1-C11; or R15a and R15b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 selected heteroatoms of oxygen, nitrogen and sulfur; xi) C (R23a) (R23b)], OC (0) R16; R16 is: a) linear, branched or substituted or unsubstituted cyclic alkyl of C C12; b) -N (R17a) (R17b); R17a and R17b are each independently hydrogen, linear, branched or cyclic alkyl substituted or unsubstituted C C-12; substituted or unsubstituted aryl of C & or C10; substituted or unsubstituted heterocyclic of C C9; unsubstituted or substituted heteroaryl of C Cn; or R17a and R17b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; xii) - [C (R23a) (R23b)] xNR18C (0) R19; R18 is: a) -H; or b) substituted or unsubstituted linear, branched or cyclic alkyl of C 1 -C 12; R 9 is: a) linear, branched or substituted or unsubstituted cyclic alkyl of C C 12 b) -N (R 20 a) (R 20b); R20a and R20b are each independently hydrogen, linear, branched or substituted or unsubstituted cyclic CrC 2 alkyl; substituted or unsubstituted aryl of C6 or C10; substituted or unsubstituted heterocyclic of C-i-C9; substituted or unsubstituted heteroaryl of C-pCn; or R20a and R20b can be taken together to form a substituted or unsubstituted ring having from 3 to 10 carbon atoms and from 0 to 3 heteroatoms chosen from oxygen, nitrogen and sulfur; xiii) - [C (R23a) (R23b)] xCN; xiv) - [C (R 3a) (R23b)] xN02; xv) - [C (R23a) (R23b)] xR21; R21 is linear, branched or substituted C 1 -C 10 alkyl by 1 to 21 halogen atoms chosen from -F, -Cl, -Br or -I; xvi) - [C (R23a) (R23b)] xSO2R22; R22 is hydrogen, hydroxyl, linear or branched alkyl of substituted or unsubstituted C4; aryl of C6, Cio, or C-u substituted or unsubstituted; C7-C15 alkylearyl; substituted or unsubstituted heterocyclic of C1-C9; or substituted or unsubstituted heteroaryl of C-i-Cn; R23a and R23b are each independently hydrogen or C1-C4 alkyl; and the subscript x is an integer from 0 to 5. 30. - The composition in accordance with any of the claims 22 to 26, further characterized in that the HIF-1a prolyl hydroxylase inhibitor is chosen from: 1-Benzyl-3-hydroxy-4- (piperidin-1-ylmethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- (morpholin-4-ylmethyl) pyridin-2 (1H) -one; 1-Benzyl-3-hydroxy-4- (thiomorpholin-4-ylmethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- (thiazolidin-3-ylmethyl) pyridin-2 (1H) -one; 1-Benzyl-3-hydroxy-4- (pyrrolidin-1-ylmethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- (4-benzylpiperidin-1-ylmethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- (4-benzylpiperazin-1-ylmethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [(3-hydroxypyrrolidin-1-yl) methyl] pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- (1,4-dioxa-8-azaspiro [4.5] dec-8-ylmethyl) pyridin-2 (H) -one 1-Benzyl-3-hydroxy-4- azepan-1-ylmethylpyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- (azocan-1-ylmethyl) pyridin-2 (1H) -one; 1-Benzyl-3-hydroxy- (1,4'-bipiperidinyl-1'-ylmethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [(3,4-dihydroquinolin-1 (2H) -yl) methyl] pyridin-2 (1 H) -one; 1 - [(1-benzyl-3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl) methyl] pyrrolidine-2-carboxylic acid methyl; 1-Benzyl-3-hydroxy-4-. { [2- (methoxymethyl) pyrrolidin-1-yl] methyl} pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4-. { [2- (pyridin-2-yl) pyrrolidin-1-yl] methyl} pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- [4- (6-chloropyridazin-3-yl) piperazin-1-ylmethyl] pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4- [4- (2-methoxyphenyl) piperazin-1-ylmethyl] pyridin-2 (1 H) -one; 1- (3-Methoxybenzyl) -3-hydroxy-4- (piperidin-1-ylmethyl) pyridin-2 (1H) -one; 1-Benzyl-3-hydroxy-4-. { [3- (1-H-imidazol-1-yl) propylamino] methyl} pyridin-2 (1H) -one; 1-Benzyl-3-hydroxy-4- (benzylaminomethyl) pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4-. { [(2- (pyridin-2-yl) ethylamino] methyl] pyridin-2 (1H) -one; 1-Benzyl-3-hydroxy-4-. {[[(Tetrahydrofuran-2-ylmethyl) amino] ] methyl.}. pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [(2- methoxyethyl amine) methy1] pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [(1-hydroxy-2-methylpropan-2-ylamino) methy1] pyridin-2 (1H) -one; 1-Benzyl-3-hydroxy-4 - [(pyridin-4-ylmethylamino) methyl] pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy 4-. { [(furan-2-methylmet) amino] meth} p¡r¡din-2 (1 H) -one; 1-Benzyl-3-hydroxy-4-. { [2- (methylthio) ethylamino] methyl} pindin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [(4-methoxy-benzyl-amino) methyl] pyridin-2 (1H) -one; 1-Benzyl-3-hydroxy-4 - [(1-phenylethylamino) methy1] pyridin-2 (1H) -one; 1-Benzyl-3-hydroxy-4- (cycloheptylaminomethyl) pyridyl-2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [(4-methyl-cyclohexylamino) methy1] pyridin-2 (1H) -one; 1-Benzyl-3-hydroxy-4 - [(1-benzylpiperidin-4-ylamino) methyl] pyridin-2 (H) -one; 3 - [(1-Benzyl-3-hydroxy-2-oxo-1,2-dihydropyridin-4-yl) methylamino] azepan-2-one; 1-Benzyl-3-hydroxy-4 - [(1-benzylpyrrolidin-3-ylammon) methyl] pyridin-2 (1 H) -one; (R) -1-Benzyl-3-hydroxy-4 - [(1-phenylethylamino) methyl] pyridin-2 (1 H) -one; 1-Benzyl-3-hydroxy-4 - [([1,3] dioxolan-2-ylmethylmethylamine) methyl) pyridn-2 (1 H) -one; 1- (4'-Met-1-benzenesulfonyl) -3-hydroxy-4- (pyrrolidin-1-ylmethyl) pyridin-2 (1 H) -one; 1- (4'-Met-1-benzenesulfonyl) -3-hydroxy-4-thiazolidin-3-methylmethylpyridin-2 (1 H) -one; 1- (4'-Methylbenzenesulfonyl) -3-hydroxy-4-azocan-1-methylpyridin-2 (1 H) -one; 1- (4'-Methylbenzenesulfonyl) -3-hydroxyl-4- (4-phenylpiperazin-1-ylmethyl) -pyrdin-2 (1H) -one; 1- (4'-Methylbenzenesulfonyl) -3-hydroxy-4- [1,4 '] b, p-per-vinyl-V-ylmethylpyridin-2 (1 H) -one; 1- (4'-Met.lbenzenesulfonyl) -3-hydroxy-4- [4- (6-chloropyridazin-3-yl) piperazin-1-ylmethyl] pyridin-2 ( 1 H) -one; 1- (4'-Methylbenzenesulfonyl) -3-hydroxy-4- (benzylaminomethyl) pyridin-2 (1H) -one; and 1- (4'-Methylbenzenesulfonyl) -3-hydroxy-4 - [(2-methoxyethylamino) methyl] -pindin-2 (1 H) -one. 31. - The composition in accordance with any of the claims 22 to 26, further characterized in that the HIF-1a 4-prolyl hydroxylase inhibitor is a salt comprising selected anions of chloride, bromide, iodide, sulfate, bisulfate, carbonate, bicarbonate, phosphate, formate, acetate, propionate, butyrate, pyruvate, lactate, oxalate, malonate, maleate, succinate, tartrate, fumarate and citrate. 32. The composition according to any of claims 22 to 26, further characterized in that the inhibitor of HIF-1a 4-prolyl hydroxylase is a salt comprising selected cations of ammonium, sodium, lithium, potassium, calcium, magnesium and bismuth. 33. - An inhibitor of HIF-1a 4-prolyl hydroxylase having the formula: where L is chosen from CH2 or S02; R represents from 0 to 5 substitutions for hydrogen, said substituted substitutions of halogen, methyl and methoxy; the subscript n is an integer from 0 to 5; or a pharmaceutically acceptable salt thereof. 34. - The HIF-1a 4-prolyl hydroxylase inhibitor according to claim 33, further characterized in that it is chosen from 1- (2-chlorobenzyl) -3-hydroxypyridin-2 (1 H) -one; 1- (3-chlorobenzyl) -3-hydroxypyridin-2 (H) -one; 1- (4-chlorobenzyl) -3-hydroxypyridin-2 (1 H) -one; 1- (2-fluorobenzyl) -3- hydroxypyridin-2 (1 H) -one; 1- (3-fluorobenzyl) -3-hydroxypyridin-2 (1 H) -one; and 1- (4-fluorobenzyl) -3-hydroxypyridin-2 (1 H) -one. 35. The use of a compound as claimed in any of claims 33 or 34, to make a medicament for increasing the stabilization of hypoxia-inducible factor-1 alpha (HIF-1a) in a subject. 36. - The use of a compound as claimed in any of claims 33 or 34, to make a medicament for increasing the cellular immune response in a subject. 37 -. 37 - The use of a compound as claimed in any of claims 33 or 34, to make a medicament for treating cancer in a subject. 38 -. 38 - The use of a compound as claimed in any of claims 33 or 34, to make a medicament for prophylactically treating a subject against an infection. 39 -. 39 - The use of a compound as claimed in any of claims 33 or 34, to make a medicament for treating an infection in a subject caused by a microorganism. 40 -. 40 - The use of a compound as claimed in any of claims 33 or 34, to make a medicament for increasing the effectiveness of a vaccine. 41. - The use of a compound as claimed in any of claims 33 or 34, to make a medicament for treating anemia in a subject. 42. - The use of a compound as claimed in any of claims 33 or 34, to make a medicament for increasing angiogenesis in a subject. 43. - The use of a compound as claimed in any of claims 33 or 34, to make a medicament for treating sepsis in a subject. 44. - The use of a compound as claimed in any of claims 33 or 34, to make a medicament for treating peripheral vascular disease in a subject. 45. - The use of a compound as claimed in any of claims 33 or 34, to make a medicament for treating a wound in a subject. 46. - The use of a compound as claimed in any of claims 33 or 34, to make a medicament for treating diabetes in a subject. 47. - The use of a compound as claimed in any of claims 33 or 34, to make a medicament for treating hypertension in a subject. 48. - A pharmaceutical composition comprising: A) an inhibitor of HIF-1a 4-prolyl hydroxylase having the formula: where L is chosen from CH2 or S02; R represents from 0 to 5 substitutions for hydrogen, said substituted substitutions of halogen, methyl and methoxy; the subscript n is an integer from 0 to 5; or a pharmaceutically acceptable salt thereof; and B) one or more excipients. 49. The composition according to claim 48, further characterized in that the HIF-1a 4-prolyl hydroxylase inhibitor is chosen from: 1- (2-chlorobenzyl) -3-hydroxypyridin-2 (1H) -one; 1- (3-chlorobenzyl) -3-hydroxypyridin-2 (1 H) -one; 1- (4-chlorobenzyl) -3-hydroxypyridin-2 (1 H) -one; 1- (2-fluorobenzyl) -3-hydroxypyridin-2 (1 H) -one; 1- (3-fluorobenzyl) -3-hydroxypyridin-2 (1 H) -one; and 1- (4-fluorobenzyl) -3-hydroxypyridin-2 (1 H) -one.
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